Draf III mucosal graft technique: long-term results

International Forum of Allergy & Rhinology
Elisa A IllingBradford A Woodworth

Abstract

The Draf III procedure is an effective endoscopic approach to the treatment of frontal sinus disorders, but has a significant restenosis rate. The objective of the current study is to assess long-term success of the Draf III mucosal grafting technique. Patients undergoing Draf III with mucosal grafting technique were prospectively enrolled. Demographics, indication for surgery, anterior-posterior (AP) diameter of frontal ostium, and complications were recorded. Failure was defined a priori as closure ≥50% of the intraoperative AP diameter at last clinical follow-up. Ninety-six patients requiring Draf III with mucosal grafting were enrolled, 67 of which (average age 54 years; range, 15-84 years) had at least 1 year of follow-up (average 34 months; range, 12-85 months) and were included in the analysis. Reasons for the procedure included chronic rhinosinusitis with frontal ostium stenosis (n = 37), tumor (n = 26), and cerebrospinal fluid leak (n = 4). Average preoperative Lund-Mackay score was 13.9 ± 7.8. Average intraoperative AP diameter was 11.0 ± 1.9 mm. The procedure was highly effective with 97% (65/67) of patients maintaining a patent frontal sinus ostium (>50% intraoperative AP diameter) for the duration of follow-up (ave...Continue Reading

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Citations

May 6, 2016·International Forum of Allergy & Rhinology·Sarah K Wise
Feb 17, 2017·International Forum of Allergy & Rhinology·Jessica W GraysonBradford A Woodworth
Dec 7, 2017·International Forum of Allergy & Rhinology·Waleed M AbuzeidChristina H Fang
Aug 31, 2017·International Forum of Allergy & Rhinology·Jessica W GraysonBradford A Woodworth
Nov 3, 2017·Current Opinion in Otolaryngology & Head and Neck Surgery·Carolyn A Orgain, Richard J Harvey
Jun 29, 2018·American Journal of Rhinology & Allergy·Catherine G BanksBradford A Woodworth
Nov 16, 2018·International Forum of Allergy & Rhinology·Ameet SinghAarthi Raman
Jul 28, 2019·The Journal of Craniofacial Surgery·Gülpembe BozkurtPaolo Castelnuovo
Dec 14, 2019·Current Opinion in Otolaryngology & Head and Neck Surgery·Catherine BanksBradford A Woodworth
Mar 25, 2020·The Laryngoscope·Kosuke TochigiYasuhiro Tanaka
Sep 18, 2020·American Journal of Rhinology & Allergy·Harrison M ThompsonBradford A Woodworth
Nov 14, 2017·International Forum of Allergy & Rhinology·Vishal S PatelPeter H Hwang
Dec 6, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Tary Yin, Richard Douglas

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