Extended Draf IIb Procedures in the Treatment of Frontal Sinus Pathology
ObjectivesDraf IIb approach provides wide, unilateral access to the frontal sinus. This approach can be extended without destruction of the contralateral frontal sinus drainage pathway, performed during Draf III (modified Lothrop) procedure. There is limited data in the literature regarding the use...
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| Format: | Article |
| Language: | English |
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Korean Society of Otorhinolaryngology-Head and Neck Surgery
2015-03-01
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| Series: | Clinical and Experimental Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.e-ceo.org/upload/pdf/ceo-8-34.pdf |
| _version_ | 1818151697620402176 |
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| author | Tomasz Gotlib Marta Held-Ziółkowska Kazimierz Niemczyk |
| author_facet | Tomasz Gotlib Marta Held-Ziółkowska Kazimierz Niemczyk |
| author_sort | Tomasz Gotlib |
| collection | DOAJ |
| description | ObjectivesDraf IIb approach provides wide, unilateral access to the frontal sinus. This approach can be extended without destruction of the contralateral frontal sinus drainage pathway, performed during Draf III (modified Lothrop) procedure. There is limited data in the literature regarding the use of modified Draf IIb procedures.MethodsPatients treated with extended Draf IIb procedures in a single center were retrospectively assessed.ResultsTen patients were identified, including 2 cases of osteoma, 1 inverted papilloma, 1 carcinoma, 5 mucoceles, and 1 chronic rhinosinusitis patient. Six patients had undergone prior surgery, including external procedures in 3 cases. Modifications of Draf IIb were classified as the following: removal of the anterosuperior nasal septum adjacent to the nasal beak, removal of the intersinus septum, and a combination of the above-mentioned methods (upper nasal septum and intersinus septum removal). There were 3 patients operated on with type 1 modification, one patient with type 2 modification, and 6 patients with type 3 modification. There were no perioperative complications.ConclusionIn selected cases, extended Draf IIb procedures are safe and effective in the treatment of frontal sinus disease. |
| first_indexed | 2024-12-11T13:42:57Z |
| format | Article |
| id | doaj.art-e5a3833eb1874eab9cdc0e58004a86a8 |
| institution | Directory Open Access Journal |
| issn | 1976-8710 2005-0720 |
| language | English |
| last_indexed | 2024-12-11T13:42:57Z |
| publishDate | 2015-03-01 |
| publisher | Korean Society of Otorhinolaryngology-Head and Neck Surgery |
| record_format | Article |
| series | Clinical and Experimental Otorhinolaryngology |
| spelling | doaj.art-e5a3833eb1874eab9cdc0e58004a86a82022-12-22T01:04:41ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202015-03-0181343810.3342/ceo.2015.8.1.34392Extended Draf IIb Procedures in the Treatment of Frontal Sinus PathologyTomasz Gotlib0Marta Held-Ziółkowska1Kazimierz Niemczyk2Department of Otolaryngology, Medical University of Warsaw, Warsaw, Poland.Department of Otolaryngology, Medical University of Warsaw, Warsaw, Poland.Department of Otolaryngology, Medical University of Warsaw, Warsaw, Poland.ObjectivesDraf IIb approach provides wide, unilateral access to the frontal sinus. This approach can be extended without destruction of the contralateral frontal sinus drainage pathway, performed during Draf III (modified Lothrop) procedure. There is limited data in the literature regarding the use of modified Draf IIb procedures.MethodsPatients treated with extended Draf IIb procedures in a single center were retrospectively assessed.ResultsTen patients were identified, including 2 cases of osteoma, 1 inverted papilloma, 1 carcinoma, 5 mucoceles, and 1 chronic rhinosinusitis patient. Six patients had undergone prior surgery, including external procedures in 3 cases. Modifications of Draf IIb were classified as the following: removal of the anterosuperior nasal septum adjacent to the nasal beak, removal of the intersinus septum, and a combination of the above-mentioned methods (upper nasal septum and intersinus septum removal). There were 3 patients operated on with type 1 modification, one patient with type 2 modification, and 6 patients with type 3 modification. There were no perioperative complications.ConclusionIn selected cases, extended Draf IIb procedures are safe and effective in the treatment of frontal sinus disease.http://www.e-ceo.org/upload/pdf/ceo-8-34.pdfEndoscopyFrontal SinusSurgery |
| spellingShingle | Tomasz Gotlib Marta Held-Ziółkowska Kazimierz Niemczyk Extended Draf IIb Procedures in the Treatment of Frontal Sinus Pathology Clinical and Experimental Otorhinolaryngology Endoscopy Frontal Sinus Surgery |
| title | Extended Draf IIb Procedures in the Treatment of Frontal Sinus Pathology |
| title_full | Extended Draf IIb Procedures in the Treatment of Frontal Sinus Pathology |
| title_fullStr | Extended Draf IIb Procedures in the Treatment of Frontal Sinus Pathology |
| title_full_unstemmed | Extended Draf IIb Procedures in the Treatment of Frontal Sinus Pathology |
| title_short | Extended Draf IIb Procedures in the Treatment of Frontal Sinus Pathology |
| title_sort | extended draf iib procedures in the treatment of frontal sinus pathology |
| topic | Endoscopy Frontal Sinus Surgery |
| url | http://www.e-ceo.org/upload/pdf/ceo-8-34.pdf |
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