What is the evidence for the use of mucosal flaps in Draf III procedures?

Current Opinion in Otolaryngology & Head and Neck Surgery
Calvin C Wei, Anshul Sama

Abstract

Recent literature has described the use of mucosal grafts or transplants to reduce the rate of frontal ostium restenosis after the endoscopic-modified Lothrop procedure. This article presents a review of the literature on the rates of revision and restenosis related to Draf III procedures, factors implicated in the causation of restenosis and the evidence to support the role of mucosal grafts in reducing restenosis rates. Compared to historic data and to the meta-analysis data by Anderson and Sindwani, results from three case series examining the use of mucosal flaps after endoscopic-modified Lothrop procedure look extremely promising compared to a baseline average stenosis rate of 19% and revision rate of 14% quoted in the literature. Although the concept appears sound in principle and the limited series published show potential reduction in revision rates, there is inadequate evidence to state conclusively that this technique will improve the results of Draf III procedures in all surgical hands.

Associated Clinical Trials

References

Oct 17, 1998·Archives of Otolaryngology--head & Neck Surgery·R Metson, R E Gliklich
Nov 7, 1998·American Journal of Rhinology·R R Casiano, J A Livingston
Feb 24, 2001·The Laryngoscope·R WeberS D Schaefer
May 10, 2001·Otolaryngologic Clinics of North America·C W Gross, S E Harrison
Jul 24, 2004·Clinical Otolaryngology and Allied Sciences·S P RajapaksaP J Wormald
Jul 29, 2006·American Journal of Rhinology·Jivianne T LeeAlexander G Chiu
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Jan 10, 2012·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Bryant T CongerBradford A Woodworth
Apr 11, 2012·American Journal of Rhinology & Allergy·Tanja HildenbrandRainer K Weber

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Citations

Feb 18, 2016·International Forum of Allergy & Rhinology·David K MorrisseyPeter-John Wormald
Feb 3, 2016·International Forum of Allergy & Rhinology·Elisa A IllingBradford A Woodworth
Oct 25, 2016·The Laryngoscope·Francesca Romana FioriniPhilippe Herman
Sep 24, 2016·American Journal of Rhinology & Allergy·Benjamin VerillaudPhilippe Herman

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