The use of grafts in frontal sinus drill-outs.

Show simple item record Yin, Tary Douglas, Richard
dc.coverage.spatial United States 2021-07-19T22:02:23Z 2021-07-19T22:02:23Z 2021-2
dc.identifier.issn 1068-9508
dc.description.abstract <h4>Purpose of review</h4>A significant complication of the frontal sinus drill-out procedure is restenosis of the frontal neo-ostium. To improve postoperative healing in this region, various mucosal grafts and pedicled flaps have been designed to reconstruct the mucosal lining of the frontal neo-ostium. We provide an overview of the types of grafts described for reconstruction and discuss the latest evidence on their efficacy.<h4>Recent findings</h4>Frontal neo-ostium mucosal reconstruction may be performed using free, pedicled, or a combination of grafts. There are several case series that report good outcomes and low revision rates following the use of grafts in frontal sinus drill-outs, and one randomized controlled study demonstrating increased ostial patency. However, the use of grafts did not alter the rate of revision surgery and only one study reported an improvement in Sino-Nasal Outcome Test-22 scores after one year.<h4>Summary</h4>Studies have suggested that frontal sinus drill-out grafts result in favorable restenosis and graft success rates. However, larger randomized control trials will be required to determine whether frontal sinus drill-out grafts contribute to a tangible clinical benefit for patients.
dc.format.medium Print
dc.language eng
dc.publisher Ovid Technologies (Wolters Kluwer Health)
dc.relation.ispartofseries Current opinion in otolaryngology & head and neck surgery
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.
dc.subject Science & Technology
dc.subject Life Sciences & Biomedicine
dc.subject Otorhinolaryngology
dc.subject Draf III
dc.subject frontal sinus
dc.subject Lothrop
dc.subject surgical flaps
dc.title The use of grafts in frontal sinus drill-outs.
dc.type Journal Article
dc.identifier.doi 10.1097/moo.0000000000000681
pubs.issue 1
pubs.begin-page 31
pubs.volume 29 2021-06-02T22:51:19Z
dc.rights.holder Copyright: The author en
pubs.end-page 35
pubs.publication-status Published
dc.rights.accessrights en
pubs.subtype Journal Article
pubs.elements-id 831366
dc.identifier.eissn 1531-6998
dc.identifier.pii 00020840-202102000-00006 2020-12-3

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