{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T15:10:36Z","timestamp":1700493036741},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,4,26]],"date-time":"2011-04-26T00:00:00Z","timestamp":1303776000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2011,5]]},"abstract":"Abstract<\/jats:title>Objective:<\/jats:title>Anatomic limitations complicate complete eradication of debris from the maxillary sinus using an exclusively transnasal (TN) endoscopic technique. Creation of a canine fossa trephination (CFT) permits a more direct approach than removal via the maxillary ostium.<\/jats:p><\/jats:sec>Methods:<\/jats:title>Microdebrider eradication of debris completely filling the maxillary sinus was performed on 5 thawed fresh\u2010frozen cadaver heads (10 sides) using a TN or CFT approach. Postdebridement computed tomography (CT) scanning assessed remaining debris. Additional outcome measures included time of debris removal, number of different angled blades utilized, and clogging.<\/jats:p><\/jats:sec>Results:<\/jats:title>A significantly greater amount of debris was left after the TN approach compared with CFT (3.88 cm3<\/jats:sup> vs 2.88 cm3<\/jats:sup>, p<\/jats:italic> = 0.015). Median blade utilization was significantly higher with the TN approach vs CFT (4 vs 1, p<\/jats:italic> < 0.002). Time for debris eradication with CFT was similar regardless of expertise (323.4 vs 272.4 seconds, p<\/jats:italic> = 0.21), but the TN approach showed a statistical difference in time\u2010to\u2010completion (698.8 vs 438.51 seconds, p<\/jats:italic> = 1.7 \u00d7 10\u22125<\/jats:sup>).<\/jats:p><\/jats:sec>Conclusion:<\/jats:title>Controversy surrounds the appropriate application of CFT due to disease process and approach\u2010related morbidity. Rhinologists should have numerous well\u2010studied options at their disposal. This model suggests that maxillary debris removal is accomplished more thoroughly with fewer microdebrider blades when a CFT approach is employed. \u00a9 2011 ARS\u2010AAOA, LLC.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.20022","type":"journal-article","created":{"date-parts":[[2011,4,26]],"date-time":"2011-04-26T17:22:24Z","timestamp":1303838544000},"page":"183-186","source":"Crossref","is-referenced-by-count":3,"title":["Cadaveric comparison of canine fossa vs transnasal maxillary sinus access"],"prefix":"10.1002","volume":"1","author":[{"given":"Brent Alan","family":"Feldt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin Christopher","family":"McMains","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik Kent","family":"Weitzel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,4,26]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"385","article-title":"Is canine fossa access necessary for successful maxillary fungus ball treatment","volume":"47","author":"Pagella F","year":"2009","journal-title":"Rhinology."},{"key":"e_1_2_6_3_2","first-page":"230","article-title":"What are the advantages of the endoscopic canine fossa approach in treating maxillary sinus aspergillomas","volume":"42","author":"Chobillon MA","year":"2004","journal-title":"Rhinology."},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2006.20.2872"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20578"},{"key":"e_1_2_6_6_2","first-page":"34","article-title":"Paranasal sinus fungus ball and surgery: a review of 175 cases","volume":"43","author":"Dufour X","year":"2005","journal-title":"Rhinology."},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318169028d"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000162651.22019.4A"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2009.23.3373"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2007.21.3022"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2009.23.3353"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000176544.72657.a6"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/194589240501900215"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989770203-1"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2009.23.3356"}],"container-title":["International Forum of Allergy & Rhinology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Falr.20022","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/alr.20022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T14:46:12Z","timestamp":1700491572000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/alr.20022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,4,26]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,5]]}},"alternative-id":["10.1002\/alr.20022"],"URL":"https:\/\/doi.org\/10.1002\/alr.20022","archive":["Portico"],"relation":{},"ISSN":["2042-6976","2042-6984"],"issn-type":[{"value":"2042-6976","type":"print"},{"value":"2042-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,4,26]]}}}