Draf III mucosal graft technique: long‐term results

Abstract

Common causes of failure following Draf III procedures include osteoneogenesis and stenosis. This study provides long-term data demonstrating excellent outcomes using the mucosal grafting technique.

Evolution of the endoscopic modified Lothrop procedure: A systematic review and meta‐analysis

“…Mucosal grafts from the septum or inferior turbinate, intended to facilitate healing of raw bony surfaces and to prevent neo‐ostium closure, were applied in 83 patients from two studies . In these studies, there was 96.4% patency rate (n = 80/83, 95% CI: 89.5%‐99.2%), and a revision rate of 4.8% (n = 4/83, 95% CI: 1.5%‐12.1%) after a mean follow‐up of 32.4 ± 5.9 months.…”

“…The EMLP has become more commonplace due in part to advancements in frontal sinus instrumentation and surgical navigation. Recent reports of favorable outcomes in larger cohorts with longer follow‐up times have also helped to increase acceptance …”

“…Owing to a lack of detailed reporting, the impact of accessory techniques such as surgical navigation, mucosal grafting, and stenting in EMLP could not be assessed. Mucosal grafting showed promising results in two studies but lacked a suitable comparison group . Although stenting has not been shown historically to reduce the rate of postoperative stenosis, newer drug‐eluting stents may show promise.…”

The endoscopic modified Lothrop procedure: finally ready for prime time in the management of inflammatory sinus disease

“…Third, mucosal flaps, grafts, and other materials have improved healing time. 3 Finally, the ability to effectively deliver topical steroid has been greatly improved with high volume saline irrigation containing off-label, potent topical steroids long used to treat asthma. 4 …”

Characterization of primary rat nasal epithelial cultures in CFTR knockout rats as a model for CF sinus disease

“…The majority of patients with CF develop chronic rhinosinusitis (CRS) due to mucous‐filled, infected sinuses and swelling of the intranasal and sinus mucosa . Symptoms of CRS can be incapacitating and characteristically include facial pain and/or pressure, headache, nasal obstruction, congestion, and nasal discharge .…”