Gender-specific differences in feasibility of pre-lacrimal window approach

Abstract The feasibility and surgical effort of a pre-lacrimal window approach (PLWA) depends on the width of the bony window anterior to the nasolacrimal duct. This study aimed to investigate gender-specific differences in feasibility of PLWA. A consecutive series of paranasal computed tomography s...

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Autores principales:	A. Andrianakis, U. Moser, A. Wolf, P. Kiss, C. Holzmeister, D. Andrianakis, P. V. Tomazic
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/45190b5155ea41d28c1ccc9cd9fddae7
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spelling	oai:doaj.org-article:45190b5155ea41d28c1ccc9cd9fddae72021-12-02T18:15:24ZGender-specific differences in feasibility of pre-lacrimal window approach10.1038/s41598-021-87447-w2045-2322https://doaj.org/article/45190b5155ea41d28c1ccc9cd9fddae72021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-87447-whttps://doaj.org/toc/2045-2322Abstract The feasibility and surgical effort of a pre-lacrimal window approach (PLWA) depends on the width of the bony window anterior to the nasolacrimal duct. This study aimed to investigate gender-specific differences in feasibility of PLWA. A consecutive series of paranasal computed tomography scans from 50 females (n = 100) and 50 males (n = 100) were retrospectively analyzed. The primary outcome measure was the antero-posterior length of the bony pre-lacrimal window (BPLWA). The secondary outcome measure was the distribution of Simmen’s PLWA feasibility types (major, moderate and minor surgical effort). On average, males had a 1.5 mm (95% CI 0.8–2.2) significantly higher BPLW length in comparison to females [t(198) = 4.4, p < 0.0001]. The requirement of major surgical effort occurred 29% more frequently in females [χ2(1) = 17.7, p < 0.0001], whereas the necessity of moderate surgical effort was 21% more prevalent in males [χ2(1) = 8.8, p = 0.003]. The need of only minor surgical effort was twice as high in males compared to females [χ2(1) = 3, p = 0.081]. Our data indicates that females require more significant surgical effort during a PLWA to gain access to the maxillary sinus. These results are highly informative as a high amount of bone removal and nasolacrimal duct dislocation are associated with a higher likelihood of complications.A. AndrianakisU. MoserA. WolfP. KissC. HolzmeisterD. AndrianakisP. V. TomazicNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q A. Andrianakis U. Moser A. Wolf P. Kiss C. Holzmeister D. Andrianakis P. V. Tomazic Gender-specific differences in feasibility of pre-lacrimal window approach
description	Abstract The feasibility and surgical effort of a pre-lacrimal window approach (PLWA) depends on the width of the bony window anterior to the nasolacrimal duct. This study aimed to investigate gender-specific differences in feasibility of PLWA. A consecutive series of paranasal computed tomography scans from 50 females (n = 100) and 50 males (n = 100) were retrospectively analyzed. The primary outcome measure was the antero-posterior length of the bony pre-lacrimal window (BPLWA). The secondary outcome measure was the distribution of Simmen’s PLWA feasibility types (major, moderate and minor surgical effort). On average, males had a 1.5 mm (95% CI 0.8–2.2) significantly higher BPLW length in comparison to females [t(198) = 4.4, p < 0.0001]. The requirement of major surgical effort occurred 29% more frequently in females [χ2(1) = 17.7, p < 0.0001], whereas the necessity of moderate surgical effort was 21% more prevalent in males [χ2(1) = 8.8, p = 0.003]. The need of only minor surgical effort was twice as high in males compared to females [χ2(1) = 3, p = 0.081]. Our data indicates that females require more significant surgical effort during a PLWA to gain access to the maxillary sinus. These results are highly informative as a high amount of bone removal and nasolacrimal duct dislocation are associated with a higher likelihood of complications.
format	article
author	A. Andrianakis U. Moser A. Wolf P. Kiss C. Holzmeister D. Andrianakis P. V. Tomazic
author_facet	A. Andrianakis U. Moser A. Wolf P. Kiss C. Holzmeister D. Andrianakis P. V. Tomazic
author_sort	A. Andrianakis
title	Gender-specific differences in feasibility of pre-lacrimal window approach
title_short	Gender-specific differences in feasibility of pre-lacrimal window approach
title_full	Gender-specific differences in feasibility of pre-lacrimal window approach
title_fullStr	Gender-specific differences in feasibility of pre-lacrimal window approach
title_full_unstemmed	Gender-specific differences in feasibility of pre-lacrimal window approach
title_sort	gender-specific differences in feasibility of pre-lacrimal window approach
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/45190b5155ea41d28c1ccc9cd9fddae7
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Gender-specific differences in feasibility of pre-lacrimal window approach

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