The role of the osteoplastic flap in the endoscopic era: a retrospective multicentre experience on revision surgery.

IF 2.1 4区医学 Q2 OTORHINOLARYNGOLOGY

Acta Otorhinolaryngologica Italica Pub Date : 2023-04-01 DOI:10.14639/0392-100X-suppl.1-43-2023-04

Fabio Pagella, Eugenia Maiorano, Mario Turri-Zanoni, Marco Ferrari, Paolo Carena, Cesare Zoia, Camilla Czaczkes, Carlo Conti, Alberto Schreiber, Paolo Battaglia, Enzo Emanuelli, Stefano Pelucchi, Maurizio Bignami, Piero Nicolai, Paolo Castelnuovo

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引用次数: 0

Abstract

Objective: To retrospectively review the experience of five tertiary-care university hospitals on frontal sinus revision surgery with osteoplastic flap (OPF).

Methods: Descriptive analysis of patients who underwent frontal sinus surgery with OPF after one or more endoscopic procedures for benign and inflammatory pathologies from 2000 to 2022. Clinical charts were reviewed for demographics, indications, clinical presentation, previous frontal procedures, OPF technique and outcomes.

Results: Of the 124 patients who underwent an OPF procedure, 33 met inclusion criteria. With a mean of 2.1 previous endoscopic surgeries, Draf III was the most common former procedure. In 30 (91%) cases OPF was part of a combined procedure. The most common indications were inverted papilloma (61%), mucocele (9%) and chronic rhinosinusitis (6%). Frontal outflow stenosis (36%) and mucocele (9%) were the most frequent complications observed. Improvement of overall symptoms and patient satisfaction after the OPF procedure were recorded.

Conclusions: Even in the endoscopic era, OPF still represents a paramount procedure that should be included in the rhino-surgeon's armamentarium, in particular in patients with challenging pathologies and anatomy when previous endoscopic endonasal attempts have failed.

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骨成形术瓣在内镜时代的作用:多中心翻修手术的回顾性经验。

目的:回顾性分析五所大学三级医院采用骨成形术(OPF)进行额窦翻修手术的经验。方法:描述性分析2000年至2022年期间，因良性和炎症病理进行一次或多次内镜手术后接受额窦OPF手术的患者。临床图表回顾了人口统计学，适应症，临床表现，以前的额叶手术，OPF技术和结果。结果:124例接受OPF手术的患者中，33例符合纳入标准。平均2.1次内窥镜手术，draft III是最常见的手术。在30例(91%)病例中，OPF是联合手术的一部分。最常见的适应症是内翻性乳头状瘤(61%)、粘液囊肿(9%)和慢性鼻窦炎(6%)。额流出管狭窄(36%)和粘液囊肿(9%)是最常见的并发症。记录OPF手术后整体症状的改善情况和患者满意度。结论:即使在内窥镜时代，OPF仍然是一项重要的手术，应该包括在鼻外科医生的装备中，特别是对于那些具有挑战性的病理和解剖结构的患者，当以前的内窥镜鼻内尝试失败时。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Otorhinolaryngologica Italica OTORHINOLARYNGOLOGY-

CiteScore

3.40

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Acta Otorhinolaryngologica Italica first appeared as “Annali di Laringologia Otologia e Faringologia” and was founded in 1901 by Giulio Masini. It is the official publication of the Italian Hospital Otology Association (A.O.O.I.) and, since 1976, also of the Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale (S.I.O.Ch.C.-F.). The journal publishes original articles (clinical trials, cohort studies, case-control studies, cross-sectional surveys, and diagnostic test assessments) of interest in the field of otorhinolaryngology as well as clinical techniques and technology (a short report of unique or original methods for surgical techniques, medical management or new devices or technology), editorials (including editorial guests – special contribution) and letters to the Editor-in-Chief. Articles concerning science investigations and well prepared systematic reviews (including meta-analyses) on themes related to basic science, clinical otorhinolaryngology and head and neck surgery have high priority.