{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:08:51Z","timestamp":1783382931514,"version":"3.54.6"},"reference-count":11,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2012,9,1]],"date-time":"2012-09-01T00:00:00Z","timestamp":1346457600000},"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":[[2012,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adhesions frequently form between the middle turbinate and lateral nasal wall after endoscopic sinus surgery (ESS) and are a possible cause for surgical failure. Many absorbable and nonabsorbable spacers have been tried to improve healing. This study was designed to ascertain whether placement of a thin silastic splint into the middle meatus after sinus surgery for 2 weeks reduces adhesion formation and whether a reduction in the adhesion rate improves patient outcomes in the early postoperative phase.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty-two patients who were scheduled to undergo ESS for chronic rhinosinusitis were randomized to have a silastic splint placed into the middle meatus on one side of the nose but not the other at the completion of surgery. Splints were removed 2 weeks postoperatively. Symptom scores were recorded for each side of the nose up to 12 weeks after surgery and ethmoid cavities were graded at the 6- and 12-week visits along with assessment of adhesions. Patients were blinded to which side was splinted as was the surgeon assessing ethmoid cavities at 6 and 12 weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-three patients completed 12 weeks of follow-up. Nasal obstruction and facial pain\/discomfort were significantly higher on splinted sides for the first 2 weeks. More interventions were performed to debride adhesions in nonsplinted sides. Endoscopy revealed no adhesions at 12 weeks for sides treated with a splint whereas 9 of 33 nonsplinted sides had persistent adhesions. There were no significant differences in symptom or ethmoid cavity scores at 6 or 12 weeks between sides treated with splints versus sides treated without splints or between sides with adhesions versus without adhesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Middle meatal silastic splints reduce adhesions after ESS but increase early nasal obstruction and discomfort. Their use did not significantly change symptom or ethmoid cavity scores at 12 weeks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2500\/ajra.2012.26.3810","type":"journal-article","created":{"date-parts":[[2012,9,5]],"date-time":"2012-09-05T11:46:52Z","timestamp":1346845612000},"page":"414-417","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["Silastic Splints Reduce Middle Meatal Adhesions after Endoscopic Sinus Surgery"],"prefix":"10.1177","volume":"26","author":[{"given":"Campbell J.","family":"Baguley","sequence":"first","affiliation":[{"name":"North Shore Hospital, and the Department of Surgery, The University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas W.","family":"Stow","sequence":"additional","affiliation":[{"name":"The University of Sydney\u2013Mona Vale Hospital, Mona Vale, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik K.","family":"Weitzel","sequence":"additional","affiliation":[{"name":"San Antonio Military Medical Center, Fort Sam Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard G.","family":"Douglas","sequence":"additional","affiliation":[{"name":"North Shore Hospital, and the Department of Surgery, The University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,9,1]]},"reference":[{"key":"bibr1-ajra.2012.26.3810","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199901000-00006"},{"key":"bibr2-ajra.2012.26.3810","doi-asserted-by":"publisher","DOI":"10.1016\/S1043-1810(06)80009-6"},{"key":"bibr3-ajra.2012.26.3810","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e3283346f36"},{"key":"bibr4-ajra.2012.26.3810","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199911000-00025"},{"key":"bibr5-ajra.2012.26.3810","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2008.22.3171"},{"key":"bibr6-ajra.2012.26.3810","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.8.776"},{"key":"bibr7-ajra.2012.26.3810","first-page":"183","volume":"31","author":"Lund VJ","year":"1993","journal-title":"Rhinology"},{"key":"bibr8-ajra.2012.26.3810","unstructured":"Random.org. www.random.org\/."},{"key":"bibr9-ajra.2012.26.3810","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.105921"},{"key":"bibr10-ajra.2012.26.3810","doi-asserted-by":"publisher","DOI":"10.1177\/000348949510410s02"},{"key":"bibr11-ajra.2012.26.3810","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31818208c1"}],"container-title":["American Journal of Rhinology &amp; Allergy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.2500\/ajra.2012.26.3810","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.2500\/ajra.2012.26.3810","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.2500\/ajra.2012.26.3810","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:33:55Z","timestamp":1777368835000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.2500\/ajra.2012.26.3810"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2012,9]]}},"alternative-id":["10.2500\/ajra.2012.26.3810"],"URL":"https:\/\/doi.org\/10.2500\/ajra.2012.26.3810","relation":{},"ISSN":["1945-8924","1945-8932"],"issn-type":[{"value":"1945-8924","type":"print"},{"value":"1945-8932","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9]]}}}