{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T21:59:48Z","timestamp":1791583188873,"version":"4.3.4"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,2,8]],"date-time":"2011-02-08T00:00:00Z","timestamp":1297123200000},"content-version":"vor","delay-in-days":38,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Chronic sphenoid rhinosinusitis (CSR) refractory to both medical management and 1 or more sphenoidotomies is a difficult entity to treat. In contrast to the surgical hierarchy that exists for the frontal sinus, there is no systematic approach for addressing persistent disease in the sphenoid. Sphenoid marsupialization has been advocated as a method of addressing recurrent sphenoid sinusitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>We present a new technique called the sphenoid drill\u2010out, which we place between traditional sphenoidotomy and sphenoid marsupialization in the surgical hierarchy for management of CSR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective review on all patients undergoing sphenoidotomy between 2005 and 2009. We studied demographics, procedure type, diagnoses, comorbidities, efficacy, revision rate, and endoscopic outcomes using Lund\u2010Kennedy scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 10 patients underwent sphenoid drill\u2010out for CSR. Average follow up was 17 months. Patients had an average of 5 prior sinus surgeries with 2.6 prior sphenoidotomies. One patient required a revision drill\u2010out procedure. The mean preoperative and postoperative Lund\u2010Kennedy scores were 6.67 and 1.78, which was a statistically significant difference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The sphenoid drill\u2010out procedure is safe and effective for the management of recalcitrant CSR. It should be considered as an intermediate procedure between sphenoidotomy and sphenoid marsupialization. \u00a9 2011 ARS\u2010AAOA, LLC.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.20006","type":"journal-article","created":{"date-parts":[[2011,2,9]],"date-time":"2011-02-09T11:41:03Z","timestamp":1297251663000},"page":"64-69","source":"Crossref","is-referenced-by-count":22,"title":["Sphenoid \u201cdrill\u2010out\u201d for chronic sphenoid rhinosinusitis"],"prefix":"10.1002","volume":"1","author":[{"given":"W. Derek","family":"Leight","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald A.","family":"Leopold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,2,8]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"1","article-title":"Summary health statistics for U.S. adults: National Health Interview Survey, 2007","volume":"240","author":"Pleis JR","year":"2009","journal-title":"Vital Health Stat 10"},{"key":"e_1_2_6_3_2","first-page":"1","article-title":"National Ambulatory Medical Care Survey: 2005 summary","volume":"387","author":"Cherry DK","year":"2007","journal-title":"Adv Data."},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.01.025"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2004.06.002"},{"issue":"12","key":"e_1_2_6_6_2","first-page":"1","article-title":"Prognostic factors, outcomes and staging in ethmoid sinus surgery","volume":"102","author":"Kennedy DW","year":"1992","journal-title":"Laryngoscope"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otot.2005.12.005"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1053\/otot.2001.22201"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/194589240501900404"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200008000-00024"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.9.994"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200101000-00024"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2008.22.3248"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2006.20.2850"},{"key":"e_1_2_6_15_2","first-page":"211","article-title":"Evolution of symptoms associated to nasal polyposis following oral steroid treatment and nasalization of the ethmoid\u2014radical ethmoidectomy is functional surgery for NPS","volume":"41","author":"Jankowski R","year":"2003","journal-title":"Rhinology."},{"key":"e_1_2_6_16_2","first-page":"1255","volume-title":"Cummings Otolaryngology Head & Neck Surgery","author":"Palmer JN","year":"2005"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.2500\/105065897781446630"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31817e2c43"}],"container-title":["International Forum of Allergy &amp; Rhinology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Falr.20006","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/alr.20006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T15:00:58Z","timestamp":1700492458000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/alr.20006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2011,1]]}},"alternative-id":["10.1002\/alr.20006"],"URL":"https:\/\/doi.org\/10.1002\/alr.20006","archive":["Portico"],"relation":{},"ISSN":["2042-6976","2042-6984"],"issn-type":[{"value":"2042-6976","type":"print"},{"value":"2042-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,1]]}}}