{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T05:53:43Z","timestamp":1791525223954,"version":"4.3.4"},"reference-count":57,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Rhinol\ufffdAllergy"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>No prior meta-analysis has directly compared restenosis or revision rates between Draf IIb and Draf III in chronic rhinosinusitis (CRS) or evaluated how Type 2 versus non-Type 2 endotypes influence these outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following PRISMA guidelines, PubMed, MEDLINE, Embase, and ClinicalTrials.gov were searched on 5 January 2025 for studies reporting restenosis or revision after Draf IIb or Draf III in adults with CRS. Random-effects meta-analyses of proportions (Freeman\u2013Tukey transformation; Hartung\u2013Knapp CIs), pooled restenosis and revision rates, with subgroup analyses by procedure type and endotype.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty-eight studies met inclusion criteria (restenosis\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091550; revision\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091305). The pooled restenosis proportion across procedures was 9% (95% CI: 5-14%) and the pooled revision proportion was 9% (95% CI: 5-13%). Restenosis was lower after Draf IIb than Draf III (0.8% vs. 12%), with revision rates showing a similar pattern (2% vs. 10%). Type 2 CRS demonstrated higher pooled rates of restenosis (8% vs. 1%) and revision (12% vs. 3%) compared with non-Type 2 CRS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Draf IIb is associated with lower pooled restenosis and revision rates than Draf III in CRS. Type 2 inflammatory endotype confers substantially higher risk of adverse frontal sinus outcomes. Incorporating endotype into procedural decision-making may improve prognosis. Prospective, endotype-stratified studies are needed to refine indications for Draf IIb versus Draf III and optimize adjunctive management strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19458924261456359","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:49:10Z","timestamp":1781614150000},"page":"567-585","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparative Restenosis and Revision Rates of Draf IIB Versus Draf III Frontal Sinusotomy in Chronic Rhinosinusitis: A Meta-Analysis Stratified by Endotype"],"prefix":"10.1177","volume":"40","author":[{"given":"Muhammad Sohaib","family":"Shahid","sequence":"first","affiliation":[{"name":"Aga Khan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naimal","family":"Naeem","sequence":"additional","affiliation":[{"name":"Aga Khan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Danish","family":"Lone","sequence":"additional","affiliation":[{"name":"Aga Khan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umer","family":"Adnan","sequence":"additional","affiliation":[{"name":"Aga Khan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2895-9200","authenticated-orcid":false,"given":"Muhammad Mahad","family":"Khurram","sequence":"additional","affiliation":[{"name":"Aga Khan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuri","family":"Hirayama","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3266-4015","authenticated-orcid":false,"given":"Haissan","family":"Iftikhar","sequence":"additional","affiliation":[{"name":"University Hospitals Northamptonshire"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21738"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2018.03.003"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199711001-00001"},{"key":"e_1_3_2_5_2","volume-title":"FESS,\"Uncapping the Egg\u201d, the Endoscopic Approach to Frontal Recess and Sinuses: A Surgical Technique of the Graz University Medical School; Introducing the New Karl Storz 45 Hopkins II Telescopes","author":"Stammberger H","year":"1999","unstructured":"Stammberger H. 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