{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T11:15:15Z","timestamp":1788347715287,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,2,16]],"date-time":"2016-02-16T00:00:00Z","timestamp":1455580800000},"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":[[2016,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Endoscopic modified Lothrop procedure (EMLP) is used to treat patients who fail conventional sinus surgery. The failure rate of a primary EMLP is reported to be between 5% and 32%. The failure rate of revision EMLP has not been reported. We present our institutions data regarding the outcome of patients requiring revision EMLP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data was collected prospectively. Patients undergoing primary EMLP between January 2001 and December 2013 with a minimum follow\u2010up of 6 months were included. Information related to demographics, asthma status, aspirin sensitivity, 22\u2010item Sino\u2010Nasal Outcome Test (SNOT\u201022) score, Lund\u2010Mackay scores, intraoperative findings, and endoscopic ostium assessment were collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 213 primary EMLPs completed with average follow\u2010up of 36 months. The failure rate of primary EMLP was 8.9% (19\/213), whereas the failure rate of revision EMLP was 21% (4\/19). Risk factors for failure of primary EMLP included the presence of intraoperative pus, more than 5 previous sinus operations and aspirin\u2010exacerbated respiratory disease (AERD). Revision of EMLP was undertaken primarily due to recurrence of nasal polyps or ostium stenosis. Those patients who underwent revision EMLP experienced symptomatic improvement and no major complications following the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The failure rate of revision EMLP is 21% in our series. The majority of revisions were for nasal polyp recurrence. Revision EMLP is a safe and well\u2010tolerated procedure in the small group of patients that require further surgery. Patients with intraoperative pus present at their initial EMLP, more than 5 previous sinus operations, or AERD are at increased risk of failure.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.21715","type":"journal-article","created":{"date-parts":[[2016,2,16]],"date-time":"2016-02-16T09:12:46Z","timestamp":1455613966000},"page":"518-522","source":"Crossref","is-referenced-by-count":28,"title":["Outcomes of revision endoscopic modified Lothrop procedure"],"prefix":"10.1002","volume":"6","author":[{"given":"David K.","family":"Morrissey","sequence":"first","affiliation":[{"name":"School of Medicine The University of Queensland  Brisbane Australia"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Queen Elizabeth Hospital  Woodville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Bassiouni","sequence":"additional","affiliation":[{"name":"Department of Surgery\u2013Otorhinolaryngology, Head and Neck Surgery University of Adelaide  Adelaide Australia"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Queen Elizabeth Hospital  Woodville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alkis J.","family":"Psaltis","sequence":"additional","affiliation":[{"name":"Department of Surgery\u2013Otorhinolaryngology, Head and Neck Surgery University of Adelaide  Adelaide Australia"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Queen Elizabeth Hospital  Woodville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuresh","family":"Naidoo","sequence":"additional","affiliation":[{"name":"Department of Surgery\u2013Otorhinolaryngology, Head and Neck Surgery University of Adelaide  Adelaide Australia"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Queen Elizabeth Hospital  Woodville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter\u2010John","family":"Wormald","sequence":"additional","affiliation":[{"name":"Department of Surgery\u2013Otorhinolaryngology, Head and Neck Surgery University of Adelaide  Adelaide Australia"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Queen Elizabeth Hospital  Woodville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,2,16]]},"reference":[{"issue":"23","key":"e_1_2_6_2_1","first-page":"1","article-title":"European Position Paper on Rhinosinusitis and Nasal Polyps","volume":"3","author":"Fokkens WJ","year":"2012","journal-title":"Rhinol Suppl"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.03.022"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-200302000-00008"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200302000-00015"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.2500\/105065897781446793"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21015"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2500\/105065800779954266"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20565"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24258"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3180337d7b"},{"key":"e_1_2_6_12_1","first-page":"195","article-title":"Long\u2010term results of Draf type III (modified endoscopic Lothrop) frontal sinus drainage procedure in 122 patients: a single centre experience","volume":"49","author":"Georgalas C","year":"2011","journal-title":"Rhinology"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24422"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000023"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2009.23.3265"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100139295"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31806865be"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22374"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/194589240201600206"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23610"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22461"}],"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.21715","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/alr.21715","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T00:02:19Z","timestamp":1696636939000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/alr.21715"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2,16]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,5]]}},"alternative-id":["10.1002\/alr.21715"],"URL":"https:\/\/doi.org\/10.1002\/alr.21715","archive":["Portico"],"relation":{},"ISSN":["2042-6976","2042-6984"],"issn-type":[{"value":"2042-6976","type":"print"},{"value":"2042-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,2,16]]}}}