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Extended draf IIb procedures in the treatment of frontal sinus pathology.

Gotlib T, Held-Ziółkowska M, Niemczyk K - Clin Exp Otorhinolaryngol (2015)

Bottom Line: Modifications of Draf IIb were classified as the following: removal of the anterosuperior nasal septum adjacent to the nasal beak, removal of the intersinus septum, and a combination of the above-mentioned methods (upper nasal septum and intersinus septum removal).There were no perioperative complications.In selected cases, extended Draf IIb procedures are safe and effective in the treatment of frontal sinus disease.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology, Medical University of Warsaw, Warsaw, Poland.

ABSTRACT

Objectives: Draf IIb approach provides wide, unilateral access to the frontal sinus. This approach can be extended without destruction of the contralateral frontal sinus drainage pathway, performed during Draf III (modified Lothrop) procedure. There is limited data in the literature regarding the use of modified Draf IIb procedures.

Methods: Patients treated with extended Draf IIb procedures in a single center were retrospectively assessed.

Results: Ten patients were identified, including 2 cases of osteoma, 1 inverted papilloma, 1 carcinoma, 5 mucoceles, and 1 chronic rhinosinusitis patient. Six patients had undergone prior surgery, including external procedures in 3 cases. Modifications of Draf IIb were classified as the following: removal of the anterosuperior nasal septum adjacent to the nasal beak, removal of the intersinus septum, and a combination of the above-mentioned methods (upper nasal septum and intersinus septum removal). There were 3 patients operated on with type 1 modification, one patient with type 2 modification, and 6 patients with type 3 modification. There were no perioperative complications.

Conclusion: In selected cases, extended Draf IIb procedures are safe and effective in the treatment of frontal sinus disease.

No MeSH data available.


Related in: MedlinePlus

Schematic drawing of the resection area in the coronal plane. (A) Draf IIb, (B) extended Draf IIb.1, (C) extended Draf IIb.2 (mini-Lothrop), and (D) extended Draf IIb.3.
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Figure 1: Schematic drawing of the resection area in the coronal plane. (A) Draf IIb, (B) extended Draf IIb.1, (C) extended Draf IIb.2 (mini-Lothrop), and (D) extended Draf IIb.3.

Mentions: The performed modifications of Draf IIb procedure were classified as Fig. 1: (1) Extended Draf IIb.1=Draf IIb+removal of the anterosuperior nasal septum adjacent to the frontal beak (Fig. 1B); (2) Extended Draf IIb.2, or mini-Lothrop=Draf IIb+removal of the lower intersinus septum (Fig. 1C); and (3) Extended Draf IIb.3=Draf IIb+removal of the upper nasal septum and the lower intersinus septum (Fig. 1D).


Extended draf IIb procedures in the treatment of frontal sinus pathology.

Gotlib T, Held-Ziółkowska M, Niemczyk K - Clin Exp Otorhinolaryngol (2015)

Schematic drawing of the resection area in the coronal plane. (A) Draf IIb, (B) extended Draf IIb.1, (C) extended Draf IIb.2 (mini-Lothrop), and (D) extended Draf IIb.3.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4338089&req=5

Figure 1: Schematic drawing of the resection area in the coronal plane. (A) Draf IIb, (B) extended Draf IIb.1, (C) extended Draf IIb.2 (mini-Lothrop), and (D) extended Draf IIb.3.
Mentions: The performed modifications of Draf IIb procedure were classified as Fig. 1: (1) Extended Draf IIb.1=Draf IIb+removal of the anterosuperior nasal septum adjacent to the frontal beak (Fig. 1B); (2) Extended Draf IIb.2, or mini-Lothrop=Draf IIb+removal of the lower intersinus septum (Fig. 1C); and (3) Extended Draf IIb.3=Draf IIb+removal of the upper nasal septum and the lower intersinus septum (Fig. 1D).

Bottom Line: Modifications of Draf IIb were classified as the following: removal of the anterosuperior nasal septum adjacent to the nasal beak, removal of the intersinus septum, and a combination of the above-mentioned methods (upper nasal septum and intersinus septum removal).There were no perioperative complications.In selected cases, extended Draf IIb procedures are safe and effective in the treatment of frontal sinus disease.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology, Medical University of Warsaw, Warsaw, Poland.

ABSTRACT

Objectives: Draf IIb approach provides wide, unilateral access to the frontal sinus. This approach can be extended without destruction of the contralateral frontal sinus drainage pathway, performed during Draf III (modified Lothrop) procedure. There is limited data in the literature regarding the use of modified Draf IIb procedures.

Methods: Patients treated with extended Draf IIb procedures in a single center were retrospectively assessed.

Results: Ten patients were identified, including 2 cases of osteoma, 1 inverted papilloma, 1 carcinoma, 5 mucoceles, and 1 chronic rhinosinusitis patient. Six patients had undergone prior surgery, including external procedures in 3 cases. Modifications of Draf IIb were classified as the following: removal of the anterosuperior nasal septum adjacent to the nasal beak, removal of the intersinus septum, and a combination of the above-mentioned methods (upper nasal septum and intersinus septum removal). There were 3 patients operated on with type 1 modification, one patient with type 2 modification, and 6 patients with type 3 modification. There were no perioperative complications.

Conclusion: In selected cases, extended Draf IIb procedures are safe and effective in the treatment of frontal sinus disease.

No MeSH data available.


Related in: MedlinePlus