Skip Navigation LinksHome > February 2014 - Volume 22 - Issue 1 > What is the evidence for the use of mucosal flaps in Draf II...
Current Opinion in Otolaryngology & Head & Neck Surgery:
doi: 10.1097/MOO.0000000000000023
NOSE AND PARANASAL SINUSES: Edited by Samuel S. Becker and Nithin D. Adappa

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

Wei, Calvin C.a; Sama, Anshulb

Collapse Box

Abstract

Purpose of review

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.

Recent findings

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.

Summary

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.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.