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Lacrimal sac exposure and a superior lateral anterior pedicle flap to improve outcomes of Draf type II and III procedures

2018; Wiley; Volume: 8; Issue: 8 Linguagem: Inglês

10.1002/alr.22122

2042-6984

Kazuhiro Omura, Kazuhiro Nomura, Satoshi Aoki, Yukio Katori, Yasuhiro Tanaka, Nobuyoshi Otori,

Facial Rejuvenation and Surgery Techniques

International Forum of Allergy & RhinologyVolume 8, Issue 8 p. 955-958 SPECIALTY TECHNIQUES Lacrimal sac exposure and a superior lateral anterior pedicle flap to improve outcomes of Draf type II and III procedures Kazuhiro Omura MD, Kazuhiro Omura MD Department of Otolaryngology, Jikei University School of Medicine, Tokyo, Japan Department of Otolaryngology, Dokkyo Medical University Saitama Medical Center, Saitama, JapanSearch for more papers by this authorKazuhiro Nomura MD, PhD, Corresponding Author Kazuhiro Nomura MD, PhD nomura@orl.med.tohoku.ac.jp orcid.org/0000-0002-6425-4574 Department of Otolaryngology–Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, JapanCorrespondence to: Kazuhiro Nomura, MD, Department of Otolaryngology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980–8574, Japan; e-mail: nomura@orl.med.tohoku.ac.jpSearch for more papers by this authorSatoshi Aoki MD, Satoshi Aoki MD Department of Otolaryngology, Dokkyo Medical University Saitama Medical Center, Saitama, JapanSearch for more papers by this authorYukio Katori MD, PhD, Yukio Katori MD, PhD Department of Otolaryngology–Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, JapanSearch for more papers by this authorYasuhiro Tanaka MD, PhD, Yasuhiro Tanaka MD, PhD Department of Otolaryngology, Dokkyo Medical University Saitama Medical Center, Saitama, JapanSearch for more papers by this authorNobuyoshi Otori MD, PhD, Nobuyoshi Otori MD, PhD Department of Otolaryngology, Jikei University School of Medicine, Tokyo, JapanSearch for more papers by this author Kazuhiro Omura MD, Kazuhiro Omura MD Department of Otolaryngology, Jikei University School of Medicine, Tokyo, Japan Department of Otolaryngology, Dokkyo Medical University Saitama Medical Center, Saitama, JapanSearch for more papers by this authorKazuhiro Nomura MD, PhD, Corresponding Author Kazuhiro Nomura MD, PhD nomura@orl.med.tohoku.ac.jp orcid.org/0000-0002-6425-4574 Department of Otolaryngology–Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, JapanCorrespondence to: Kazuhiro Nomura, MD, Department of Otolaryngology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980–8574, Japan; e-mail: nomura@orl.med.tohoku.ac.jpSearch for more papers by this authorSatoshi Aoki MD, Satoshi Aoki MD Department of Otolaryngology, Dokkyo Medical University Saitama Medical Center, Saitama, JapanSearch for more papers by this authorYukio Katori MD, PhD, Yukio Katori MD, PhD Department of Otolaryngology–Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, JapanSearch for more papers by this authorYasuhiro Tanaka MD, PhD, Yasuhiro Tanaka MD, PhD Department of Otolaryngology, Dokkyo Medical University Saitama Medical Center, Saitama, JapanSearch for more papers by this authorNobuyoshi Otori MD, PhD, Nobuyoshi Otori MD, PhD Department of Otolaryngology, Jikei University School of Medicine, Tokyo, JapanSearch for more papers by this author First published: 30 March 2018 https://doi.org/10.1002/alr.22122Citations: 16 Potential conflict of interest: None provided. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Background Although the efficacy of Draf type II and III procedures for frontal sinus diseases is well recognized, a certain amount of postoperative stenosis of the frontal neo-ostium occurs. Exposed bone induces inflammation and leads to osteoneogenesis. To prevent stenosis, we developed a surgical technique designed to minimize bone exposure while maximizing the frontal neo-ostium area created with Draf type II and III procedures. We fully exposed the lacrimal sac and used a superior lateral anterior pedicle flap to cover the exposed bone during the Draf procedure. We aimed to describe our technique. Methods We reviewed 19 patients who underwent a Draf type II or III procedure with our technique. Endoscopic views from the follow-ups and complications were evaluated. Results Overall, the neo-ostium remained patent in all patients. No complications, such as synechiae or orbital injury, were seen in any of the patients. Conclusion Draf type II and III procedures with lacrimal sac exposure and a superior lateral anterior pedicle flap are convenient and seem to be effective. However, further studies with larger numbers of patients are needed to verify our technique. Citing Literature Supporting Information Filename Description alr22122-sup-0001-videoS1.mp428.9 MB video S1 Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article. Volume8, Issue8August 2018Pages 955-958 RelatedInformation