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Feasibility of a septal mucosal flap for preventing re-stenosis following the Draf III procedure

  • O Erdur (a1), K Ozturk (a1) and K Erkan (a1)
Abstract
Abstract Background:

Re-stenosis and a consequent need for revision surgery are the most common problems in the follow-up period following endoscopic modification of the Lothrop procedure.

Method:

This paper reports a new technique for reconstructing and resurfacing of the posterior frontal recess bone for prevention of re-stenosis.

Results:

A 46-year-old man presented with a frontal sinus osteoma, and treatment featured an endoscopic modification of the Lothrop procedure. A vascularised, posteriorly based, septal mucosal flap was used in reconstruction. There have been no reported issues over 24 months of follow up.

Conclusion:

The use of a nasoseptal flap seems feasible to reduce scarring and recurrence of (common) frontal recess stenosis after a Draf III operation.

Copyright
Corresponding author
Address for correspondence: Dr Omer Erdur, Department of Otolaryngology, Selcuk University Medical School, Alaeddin Keykubad Campus, 42075 Yeni Istanbul Caddesi, Konya, Turkey E-mail: dromerdur@yahoo.com
References
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2 Chin D, Snidvongs K, Kalish L, Sacks R, Harvey RJ. The outside-in approach to the modified endoscopic Lothrop procedure. Laryngoscope 2012;122:1661–9
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4 Rajapaksa SP, Ananda A, Cain TM, Oates L, Wormald PJ. Frontal ostium neo-osteogenesis and restenosis after modified endoscopic Lothrop procedure in an animal model. Clin Otolaryngol Allied Sci 2004;29:386–8
5 Hadad G, Bassagasteguy L, Carrau RL, Mataza JC, Kassam A, Snyderman CH et al. A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap. Laryngoscope 2006;116:1882–6
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8 Seyedhadi S, Mojtaba MA, Shahin B, Hoseinali K. The Draf III septal flap technique: a preliminary report. Am J Otolaryngol 2013;34:399402
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10 AlQahtani A, Bignami M, Terranova P, Digilio E, Basilico F, Abdulrahman S et al. Newly designed double-vascularized nasoseptal flap to prevent restenosis after endoscopic modified Lothrop procedure (Draf III): laboratory investigation. Eur Arch Otorhinolaryngol 2014;271:2951–5
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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