{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T08:40:45Z","timestamp":1782031245738,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,5,9]],"date-time":"2020-05-09T00:00:00Z","timestamp":1588982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Topical application of vasoconstrictors is necessary for endoscopic sinus surgery (ESS) for a bloodless surgical view and reduced intraoperative bleeding. We aimed to verify the effectiveness of gauze placement soaked with adrenaline at suprabullar recess, where the anterior ethmoidal artery exists, on hemostasis during ESS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized, double\u2010blinded trial was carried out for 26 patients receiving ESS. At the beginning of the surgery, gauze soaked with 2% lidocaine with or without 1:10\u2009000 adrenaline was placed at the suprabullar recess for 8\u2009minutes. Estimated blood loss, surgical field score, and operation time were compared between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Estimated blood loss and surgical field score were significantly smaller in the adrenaline group than in the no adrenaline group. Operation time was not significantly different between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Gauze placement soaked with adrenaline at suprabullar recess reduces estimated blood loss and clears the surgical field during ESS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26243","type":"journal-article","created":{"date-parts":[[2020,5,9]],"date-time":"2020-05-09T08:00:15Z","timestamp":1589011215000},"page":"2397-2404","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effect of gauze placement soaked with adrenaline at suprabullar recess on hemostasis during endoscopic sinus surgery: A randomized controlled trial"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4337-4745","authenticated-orcid":false,"given":"Kazuhiro","family":"Omura","sequence":"first","affiliation":[{"name":"Department of Otolaryngology The Jikei University School of Medicine  Tokyo Japan"},{"name":"Department of Otolaryngology Dokkyo Medical University Saitama Medical Center  Koshigaya\u2010shi Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Hosokawa","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology The Jikei University School of Medicine  Tokyo Japan"},{"name":"Department of Otolaryngology Dokkyo Medical University Saitama Medical Center  Koshigaya\u2010shi Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6425-4574","authenticated-orcid":false,"given":"Kazuhiro","family":"Nomura","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Tohoku Kosai Hospital  Sendai\u2010shi Miyagi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Aoki","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Dokkyo Medical University Saitama Medical Center  Koshigaya\u2010shi Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosuke","family":"Tochigi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Dokkyo Medical University Saitama Medical Center  Koshigaya\u2010shi Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keisuke","family":"Miyashita","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Dokkyo Medical University Saitama Medical Center  Koshigaya\u2010shi Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiro","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Dokkyo Medical University Saitama Medical Center  Koshigaya\u2010shi Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyoshi","family":"Otori","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology The Jikei University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiromi","family":"Kojima","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology The Jikei University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,9]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"14","article-title":"Histological changes in the nasal mucosa after hot\u2010water irrigation. 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