Patient-reported olfaction improves following outside-in Draf III frontal sinus surgery for chronic rhinosinusitis

The Laryngoscope
Eugene H WongLarry Kalish

Abstract

The Draf III frontal sinusotomy is an established surgical procedure with an important role in the surgical management of recalcitrant chronic rhinosinusitis (CRS). In 2012, the outside-in approach to the Draf III was described as a safe and efficient procedure. Smell recovery in inflammatory CRS is challenging, and to date there is limited evidence suggesting that Draf III improves patient-reported olfactory dysfunction from CRS. A consecutive series of patients who underwent an outside-in Draf III for inflammatory CRS by a single, tertiary rhinologist were reviewed. Patients were excluded if the Draf III was performed for noninflammatory conditions. Postoperatively, patients were maintained on long-term corticosteroid irrigations, and adherence was assessed. Prospectively collected data included patient demographics, a visual analogue scale for smell, overall Sinonasal Outcome Test Score (SNOT-22), global nasal function score, and a clinician-graded clinical outcome score. One hundred and four patients (41.1% female) aged 54 ± 12 years underwent an outside-in Draf III. The median follow-up time was 30.6 months (range 12.2-72.1). The majority of patients rated their smell loss as moderate or worse preoperatively; however, this...Continue Reading

References

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Citations

Jul 8, 2020·International Forum of Allergy & Rhinology·Rodney J Schlosser
Jul 12, 2020·Journal of Clinical Medicine·Christos GeorgalasAndreas Liodakis
Dec 29, 2020·Laryngoscope Investigative Otolaryngology·Xiaoguang YanThomas Hummel

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