Evidence map›Paper›PMID 37698098›Full record

ArticleActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale2023

The role of the osteoplastic flap in the endoscopic era: a retrospective multicentre experience on revision surgery.

Fabio Pagella, Eugenia Maiorano, Mario Turri-Zanoni, Marco Ferrari, Paolo Carena, Cesare Zoia, Camilla Czaczkes, Carlo Conti, Alberto Schreiber, Paolo Battaglia and 5 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06668844 (Endoscopic Direct "Draf IIa"), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06668844 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Endoscopic Direct "Draf IIa" (Carolyn's Window Approach) Versus Endoscopic Angled "Draf IIa"Approach in Chronic Rhinosinusitis With Frontal Sinus Affection ( A Comparative Study ).

TypeinterventionalSponsorAssiut UniversityRan2025 to 2028Enrolled68ConditionsChronic Rhinosinusitis (CRS), Frontal Sinusitis, Draf I or IIa, Functional Endoscopic Sinus Surgery (FESS)ArmsEndoscopic direct Draf IIa, Endoscopic angled Draf IIa
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 1 country.

Fabio PagellaDepartment of Surgical Science, University of Pavia, Pavia, Italy.
Eugenia MaioranoDepartment of Otorhinolaryngology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Mario Turri-ZanoniDivision of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, ASST Sette Laghi Hospital, Varese, Italy.
Marco FerrariSection of Otorhinolaryngology - Head and Neck Surgery, Department of Neurosciences, University of Padua, Italy.
Paolo CarenaDepartment of Otorhinolaryngology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Cesare ZoiaNeurosurgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Camilla CzaczkesDivision of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, ASST Sette Laghi Hospital, Varese, Italy.
Carlo ContiUnit of Otorhinolaryngology, Head and Neck Surgery, Department of Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
Alberto SchreiberUnit of Otorhinolaryngology, Head and Neck Surgery, Department of Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
Paolo BattagliaDivision of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, ASST Sette Laghi Hospital, Varese, Italy.
Enzo EmanuelliSection of Otorhinolaryngology - Head and Neck Surgery, Department of Neurosciences, University of Padua, Italy.
Stefano PelucchiEar-Nose-Throat & Audiology Unit, University of Ferrara, Ferrara, Italy.
Maurizio BignamiDepartment of Otorhinolaryngology, Department of Surgery, ASST Lariana, University of Insubria, Como, Italy.
Piero NicolaiSection of Otorhinolaryngology - Head and Neck Surgery, Department of Neurosciences, University of Padua, Italy.
Paolo CastelnuovoDivision of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, ASST Sette Laghi Hospital, Varese, Italy.
University of Insubria · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Brescia · ITUniversity of Padua · ITAULSS 2 Marca Trevigiana · ITPoliclinico San Matteo Fondazione · ITUniversity of Ferrara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To retrospectively review the experience of five tertiary-care university hospitals on frontal sinus revision surgery with osteoplastic flap (OPF). Methods: Descriptive analysis of patients who underwent frontal sinus surgery with OPF after one or more endoscopic procedures for benign and inflammatory pathologies from 2000 to 2022. Clinical charts were reviewed for demographics, indications, clinical presentation, previous frontal procedures, OPF technique and outcomes. Results: Of the 124 patients who underwent an OPF procedure, 33 met inclusion criteria. With a mean of 2.1 previous endoscopic surgeries, Draf III was the most common former procedure. In 30 (91%) cases OPF was part of a combined procedure. The most common indications were inverted papilloma (61%), mucocele (9%) and chronic rhinosinusitis (6%). Frontal outflow stenosis (36%) and mucocele (9%) were the most frequent complications observed. Improvement of overall symptoms and patient satisfaction after the OPF procedure were recorded. Conclusions: Even in the endoscopic era, OPF still represents a paramount procedure that should be included in the rhino-surgeon's armamentarium, in particular in patients with challenging pathologies and anatomy when previous endoscopic endonasal attempts have failed.

Indexed as

MucocelePlastic Surgery ProceduresHumansReoperationRetrospective StudiesSurgical Flapsendoscopic surgeryfrontal sinus revision surgeryopen frontal sinus procedureOPFosteoplastic flap

Identifiers

PMID37698098
PMCPMC10159640
OpenAlexW4367056380

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.