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Draf III Procedure Using Multiple Pedicled Mucosal Flaps for Refractory Frontal Sinusitis: A Case Report.
Naoki Ashida1, Miyu Mori1, Takeshi Tsuda1
1Department of Otolaryngology - Head and Neck Surgery, Osaka University Graduate School of Medicine, Suita, JPN.
Cureus
|February 20, 2026
Summary
Revision endoscopic sinus surgery for refractory frontal sinusitis can be challenging. A combined multi-flap reconstruction technique successfully maintained frontal sinus patency in a complex case with extensive bony overgrowth.
Area of Science:
- Otolaryngology
- Rhinology
- Immunology
Background:
- Frontal sinusitis refractory to treatment poses significant challenges.
- Postoperative restenosis due to neo-osteogenesis is a common complication after Draf III procedures.
- Reconstruction with mucosal grafts or flaps is recommended but difficult in revision cases with bony overgrowth.

