Review of Draf 3 frontal sinusotomy cases performed in a tertiary hospital in the last 3 years
DOI:
https://doi.org/10.34631/sporl.871Keywords:
Frontal sinusotomy, Draf 3, endoscopic sinonasal surgeryAbstract
Objectives: Assess the effectiveness and safety of frontal sinusotomy-Draf 3, to prove its indication in selected cases of frontal sinus disease.
Methods: Retrospective descriptive study of patients undergoing Draf 3 from September 2017 to December 2019, in a tertiary hospital.
Results: Eleven patients undergoing Draf 3: 5 due to tumors (46%), 4 mucocele (36%) and 2 chronic rhinosinusitis (18%). In 46% (n=6) it was a revision surgery. The average medical follow-up was 15.5 months (5-32). In 11 patients a symptomatic resolution and patency of the frontal sinus was achieved, demonstrating 91% surgical efficacy. In 82% (n=9) there were no complications. No patient required revision.
Conclusions: Surgical success was achieved in most patients, with minimal morbidity and without the need for revision. With the improvement of this surgical technique, there is a growing consensus that this is the gold standard treatment in selected cases of complex or recurrent frontal disease.
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