{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:02:19Z","timestamp":1791810139524,"version":"4.3.4"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,1,6]],"date-time":"2012-01-06T00:00:00Z","timestamp":1325808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2012,4]]},"abstract":"\n Objective<\/jats:title>\n The Draf III procedure is an advanced surgical option for frontal sinus disease refractory to endoscopic frontal sinusotomy and is used to expose the anterior limit of resection of the skull base during endoscopic management of anterior skull base tumors. Our objective was to evaluate outcomes of a strategy using mucosal grafts to decrease postoperative closure.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n Prospective cohort.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Tertiary care facility.<\/jats:p>\n <\/jats:sec>\n \n Subjects and Methods<\/jats:title>\n Patients requiring a Draf III procedure were prospectively enrolled in the study. Demographics, reason for the procedure, percentage graft viability, and complications were recorded. The primary outcome measure was anterior\u2010posterior (AP) diameter at 3\u00a0months.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Mucosal grafting was performed during 29 Draf III procedures from 2008 to 2011. Twenty\u2010seven patients (average age, 58 years) were available for measurement at 3\u00a0months (average postoperative follow\u2010up, 15.4\u00a0months; range, 3\u201330\u00a0months). Reasons for the procedure included tumor (n = 14), chronic rhinosinusitis (CRS) with frontal ostium stenosis (n = 12), and trauma (n = 1). Average intraoperative AP diameter was 11.7\u00a0mm. All patients met the definition of success (<50% reduction in diameter), maintaining a patent combined frontal sinus ostium for the duration of follow\u2010up (average diameter 10.8\u00a0mm at 3\u00a0months). Nine patients with CRS and frontal ostium stenosis had openings similar to the entire cohort (>1\u2010year follow\u2010up; average, 19.3\u00a0months) with significant symptom reduction (SNOT\u201022 preop 62.3 \u00b1 20.8 vs 3\u00a0months 27.8 \u00b1 14.8 and 1 year 21.4 \u00b1 13.6;\n P<\/jats:italic>\n <. 0001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Cicatricial stenosis and osteoneogenesis are common following the Draf III procedure. This study indicates that the use of mucosal grafts may assist with postoperative stenosis and should be considered a routine strategy for preventing closure.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/0194599811432423","type":"journal-article","created":{"date-parts":[[2012,1,7]],"date-time":"2012-01-07T00:32:49Z","timestamp":1325896369000},"page":"664-668","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":67,"title":["The Draf III Mucosal Grafting Technique"],"prefix":"10.1002","volume":"146","author":[{"suffix":"Jr","given":"Bryant T.","family":"Conger","sequence":"first","affiliation":[{"name":"Department of Surgery\/Division of Otolaryngology University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Riley","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradford A.","family":"Woodworth","sequence":"additional","affiliation":[{"name":"Department of Surgery\/Division of Otolaryngology University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,1,6]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200006000-00028"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1043-1810(10)80087-9"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11864-005-0009-y"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1159\/000264791"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2010.02.018"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2007.21.3086"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1258\/0022215054797961"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811404527"},{"key":"e_1_2_8_10_2","first-page":"231","article-title":"Endoscopic management of frontal sinus mucoeceles with anterior table erosion","volume":"46","author":"Woodworth BA","year":"2008","journal-title":"Rhinology"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20565"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.2500\/105065898780182444"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2009.01995.x"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199803000-00005"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348949410301205"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200101000-00024"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.2500\/105065897781446784"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(05)70302-9"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2006.20.2857"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599811432423","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599811432423","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599811432423","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:47:59Z","timestamp":1760968079000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599811432423"}},"subtitle":["A Prospective Study"],"short-title":[],"issued":{"date-parts":[[2012,1,6]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,4]]}},"alternative-id":["10.1177\/0194599811432423"],"URL":"https:\/\/doi.org\/10.1177\/0194599811432423","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,1,6]]},"assertion":[{"value":"2011-07-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-11-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-01-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}