{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T22:29:09Z","timestamp":1791584949688,"version":"4.3.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,7,1]],"date-time":"2017-07-01T00:00:00Z","timestamp":1498867200000},"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":[[2017,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The endoscopic modified Lothrop (Draf-III) surgery has improved treatment of recalcitrant frontal sinus disease, with favorable safety and long-term results. However, the short-term clinical and quality-of-life morbidity after Draf-III relative to less-extensive procedures has yet to be investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the surgical and quality-of-life outcomes, including the burden of follow-up care, in patients who underwent endoscopic modified Lothrop (Draf-III), and compared these results with a less-extensive intervention, the endoscopic frontal sinusotomy (Draf-IIa).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of early (&lt;8 weeks) postoperative recovery of patients who underwent Draf-III (2014 to 2016) for chronic rhinosinusitis was conducted and compared with age and radiographically matched Draf-IIa controls. Primary outcomes included perioperative complications, the number of postoperative clinic visits, debridements, and steroid and antibiotic therapy days. Secondary outcomes included the change in the 22-item Sino-Nasal Outcome Test (SNOT-22) scores and\/or subscores (domains).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-eight patients (19 Draf-III, 19 Draf-IIa) were included. Patients who underwent Draf-III versus Draf-IIa required more postoperative clinic visits (4.9 \u00b11.7 versus 3.3 \u00b1 0.8; p &lt; 0.05), debridements (4.2 \u00b1 2.0 versus 2.3 \u00b1 0.8; p &lt; 0.05), and antibiotic therapy days (24.4 \u00b1 11.8 versus 15.6 \u00b1 6.3; p &lt; 0.05). The mean (SD) SNOT-22 scores improved for both groups (\u221212.7 \u00b1 34.5 versus -9.5 \u00b1 20.4; p = 0.74) over the follow-up period, and subscore (domain) analysis demonstrated worsening extranasal symptoms (2.5 \u00b1 3.0 versus -1.5 \u00b1 4.7; p &lt; 0.05) at the first postoperative visit, and less improvement in ear\/facial symptoms at the second (\u22120.5 \u00b1 2.6 versus -3.9 \u00b1 4.7; p = 0.03) and third postoperative visits (\u22121.1 \u00b1 1.6 versus 3.5 \u00b1 3.3; p = 0.01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Draf-III is associated with more postoperative clinic visits, debridements, and antibiotic therapy days. The patients who underwent Draf-III demonstrated worsening of extranasal symptoms at the first postoperative visit and less improvement in the ear\/facial score at the second and third visits. Informed consent and counseling patients who may require Draf-III should include a detailed discussion of the burden of postoperative care and recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2500\/ajra.2017.31.4450","type":"journal-article","created":{"date-parts":[[2017,7,17]],"date-time":"2017-07-17T23:06:40Z","timestamp":1500332800000},"page":"265-270","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Short-Term Morbidity after the Endoscopic Modified Lothrop (Draf-III) Procedure Compared with Draf-IIa"],"prefix":"10.1177","volume":"31","author":[{"given":"Aria","family":"Jafari","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2014Head and Neck Surgery, Department of Surgery, University of California San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn R.","family":"Tringale","sequence":"additional","affiliation":[{"name":"School of Medicine, University of California San Diego, La Jolla, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharat A.","family":"Panuganti","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2014Head and Neck Surgery, Department of Surgery, University of California San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph R.","family":"Acevedo","sequence":"additional","affiliation":[{"name":"School of Medicine, University of California San Diego, La Jolla, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Pang","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2014Head and Neck Surgery, Department of Surgery, University of California San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam S.","family":"DeConde","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2014Head and Neck Surgery, Department of Surgery, University of California San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,7,1]]},"reference":[{"key":"bibr1-ajra.2017.31.4450","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989570080-3"},{"key":"bibr2-ajra.2017.31.4450","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200302000-00015"},{"key":"bibr3-ajra.2017.31.4450","doi-asserted-by":"publisher","DOI":"10.2500\/105065897781446793"},{"key":"bibr4-ajra.2017.31.4450","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.03.022"},{"key":"bibr5-ajra.2017.31.4450","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24258"},{"key":"bibr6-ajra.2017.31.4450","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23319"},{"key":"bibr7-ajra.2017.31.4450","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21723"},{"key":"bibr8-ajra.2017.31.4450","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21109"},{"key":"bibr9-ajra.2017.31.4450","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21495"},{"key":"bibr10-ajra.2017.31.4450","first-page":"183","volume":"31","author":"Lund V.J.","year":"1993","journal-title":"Rhinology"},{"key":"bibr11-ajra.2017.31.4450","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21408"},{"key":"bibr12-ajra.2017.31.4450","first-page":"8","volume":"39","author":"Hosemann W.","year":"1991","journal-title":"HNO"},{"key":"bibr13-ajra.2017.31.4450","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(89)90005-6"},{"key":"bibr14-ajra.2017.31.4450","doi-asserted-by":"publisher","DOI":"10.1177\/194589240201600202"},{"key":"bibr15-ajra.2017.31.4450","first-page":"120","volume":"38","author":"Inanli S.","year":"2000","journal-title":"Rhinology"},{"key":"bibr16-ajra.2017.31.4450","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2016.30.4268"},{"key":"bibr17-ajra.2017.31.4450","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.10.009"}],"container-title":["American Journal of Rhinology &amp; 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