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• W4367056380 abstract "To retrospectively review the experience of five tertiary-care university hospitals on frontal sinus revision surgery with osteoplastic flap (OPF).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.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.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.Il ruolo del lembo osteoplastico nell’era della chirurgia endoscopica: esperienza retrospettiva multicentrica sulla chirurgia di revisione.Analizzare l’esperienza di cinque centri universitari sull’utilizzo del lembo osteoplastico (OPF) nella chirurgia di revisione del seno frontale nel trattamento di patologie benigne.Analisi descrittiva sui pazienti sottoposti tra il 2000 ed il 2022 a chirurgia di revisione con OPF.Su 124 pazienti sottoposti a OPF, 33 pazienti hanno soddisfatto i criteri di inclusione. Con una media di 2.1 precedenti trattamenti endoscopici, la Draf III è stata la procedura più comunemente eseguita prima di optare per l’OPF. Le indicazioni più comuni sono state il papilloma invertito, il mucocele e la rinosinusite cronica. Nel 90% dei casi l’OPF è stato eseguito in combinazione con una procedura endoscopica. La stenosi della senotomia frontale ed il mucocele sono state le complicanze post-operatorie più frequenti. Durante il follow-up, i pazienti hanno riferito il miglioramento o la scomparsa dei sintomi e delle condizioni cliniche di partenza, con un importante livello di soddisfazione post-chirurgico.Anche nell’era della chirurgia endoscopica l’OPF rappresenta uno strumento fondamentale nell’armamentario otorinolaringoiatrico, in particolare nei pazienti con patologie e anatomia complesse, per i quali il trattamento endoscopico non è stato risolutivo." @default.
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• W4367056380 date "2023-04-01" @default.
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• W4367056380 title "The role of the osteoplastic flap in the endoscopic era: a retrospective multicentre experience on revision surgery" @default.
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• W4367056380 doi "https://doi.org/10.14639/0392-100x-suppl.1-43-2023-04" @default.
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