{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:21:38Z","timestamp":1777555298609,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Rhinol\ufffdAllergy"],"published-print":{"date-parts":[[2009,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Postoperative irrigation after endoscopic sinus surgery and endoscopic modified Lothrop procedure is used to remove nasal crusts and to improve wound healing. To evaluate the optimal application protocol for irrigation of the frontal sinus, a prospective cadaver study was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An endoscopic modified Lothrop procedure and complete sphenoethmoidectomy were performed in 19 heads. Each was irrigated with a 1.5% solution of water and different colors using nasal spray and a squeeze bottle filled with 50, 100, and 200 mL. Intensity of local staining and percentage of area were documented using standardized videoendoscopy after irrigation in \u201cbending over the sink\u201d or \u201cvertex to floor\u201d position. Grading was performed by two independent observers for 23 anatomic regions, including the stained circumference of maxillary and frontal ostia. To evaluate the influence of the anatomy, acoustic rhinometry was performed. ANOVA was used to evaluate effects of application methods and head positions using GenStat 8.2 (Lawes Agricultural Trust, Rothamsted Experimental Station, Harpenden, U.K.) using an appropriate block structure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>With regard to the frontal sinus, we were able to show clear superiority of the squeeze bottle technique filled with 200 mL and applied in the \u201cvertex to floor position.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In a relatively fit and flexible patient the vertex to floor position using a squeeze bottle technique is advocated. There may be some patients, however, for whom this position is not feasible. In these patients \u201cbending over the sink,\u201d while inferior to the \u201cvertex to floor\u201d position, still ensures some irrigation of the frontal sinus.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2500\/ajra.2009.23.3265","type":"journal-article","created":{"date-parts":[[2009,3,4]],"date-time":"2009-03-04T19:44:56Z","timestamp":1236195896000},"page":"85-90","source":"Crossref","is-referenced-by-count":54,"title":["Efficacy of Different Techniques of Sinonasal Irrigation after Modified Lothrop Procedure"],"prefix":"10.1177","volume":"23","author":[{"given":"Achim","family":"Beule","sequence":"first","affiliation":[{"name":"Department of Surgery-Otorhinolaryngology, Head and Neck Surgery, University of Adelaide and Flinders University, Adelaide, Australia"},{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, University of Greifswald, Greifswald, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodore","family":"Athanasiadis","sequence":"additional","affiliation":[{"name":"Department of Surgery-Otorhinolaryngology, Head and Neck Surgery, University of Adelaide and Flinders University, Adelaide, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Athanasiadis","sequence":"additional","affiliation":[{"name":"Faculty of Electrical and Electronic Engineering"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Field","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, University of Adelaide, Adelaide, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter-John","family":"Wormald","sequence":"additional","affiliation":[{"name":"Department of Surgery-Otorhinolaryngology, Head and Neck Surgery, University of Adelaide and Flinders University, Adelaide, 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