Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P137

Oral Presentations	

Effect of Partial Uncinectomy After Balloon
Sinuplasty on Maxillary Sinus Irrigant
Penetration: A Cadaveric Study
Jhon Freddy Martinez Paredes, MD (Presenter); Selmin
Karatayli Ozgursoy; Valerie Gonzalez; Osarenoma U.
Olomu, MD; Angela M. Donaldson, MD
Objectives: There are several cadaveric studies looking at
irrigation penetration; however, few discuss irrigation of the
maxillary sinus specifically. Some studies have suggested that
the anteromedial displacement of the uncinate may lead to
decreased irrigation penetration after balloon sinuplasty
(BSP). In this cadaver study, we aimed to investigate if the
addition of partial uncinectomy provides better maxillary
sinus irrigation penetrance than BSP alone.
Methods: Five fresh-frozen human cadaver heads (10 sides)
were used to evaluate the irrigation penetrance of the maxillary sinus using a scale from 0 (no irrigation) to 5 (fully irrigated). Three interventions were performed sequentially:
irrigation without intervention, irrigation after outfracturing
the uncinate and balloon dilation, and irrigation after removing the lower one-fourth of the uncinate. Four blinded observers scored the penetration of each maxillary sinus using
intrasinus endoscopy. The longest dimension of the maxillary
ostium was measured both before and after BSP.
Results: The mean ostium size increased from 4.1 to 6.8 mm
after balloon dilation (P = .013). The median scores of irrigation penetration after no intervention, balloon dilation, and partial uncinectomy were 2.5, 3, and 4, respectively. We found a
statistically significant increase in irrigant penetrance following partial uncinectomy plus BSP vs BSP alone (P < .05). Both
BSP interventions had a statistically significant difference in
irrigation penetrance compared with no intervention.

Conclusions: Penetration of the maxillary sinus is shown to
increase after balloon dilation, with and without partial uncinectomy. The addition of a partial uncinectomy to balloon
dilation had the largest impact on irrigation penetrance.
Effects of e-Cigarette and IQOS on the Cytologic
and Functional Features of the Nasal Mucosa
Veronica Clemenzi, MD (Presenter); Giulio Pagliuca, PhD;
Andrea Stolfa, MD; Salvatore Martellucci, MD; Sara
Santarsiero; Andrea Gallo, MD, PhD
Objectives: In the past decade, newer smoking device technologies have been introduced across the globe. Electronic
nonnicotine delivery systems (electronic cigarettes, or
e--cigarettes) heat a solution to create vapor, whereas the heatnot-burn (HNBs) tobacco products, branded as IQOS, generate heat that increases the temperature of the tobacco plug to
produce an aerosol, which is inhaled by smokers, without
tobacco combustion. The purpose of this study was to analyze
the cytologic and functional features of the nasal mucosa in
nonsmokers, e-cigarette smokers, and IQOS smokers to evaluate if these new devices can cause nasal alterations.
Methods: Sixty healthy volunteers recruited from the staff
of Sapienza University were enrolled in this prospective study,
which was conducted from September to November 2019.
The cases were divided according to smoking habits (nonsmokers, e-cigarette smokers, and IQOS smokers). Each
group was composed of 20 subjects. The cytologic features of
nasal mucosa and the effectiveness of nasal mucociliary clearance were studied, focusing on 3 parameters: nasal mucociliary clearance, assessed through saccharin nasal transit time;
ciliary motility; and time of ciliary movement of ciliated cells,
which was analyzed by phase-contrast microscopy.
Results: The outcomes were compared to highlight the differences of the cytologic and functional features of nasal
mucosa in the 3 groups, demonstrating that a significant difference exists between the nonsmokers and the new-device
smoker groups.
Conclusions: To the best of our knowledge, this is the first
study that aimed at investigating the cytologic and functional
effects of the use of new smoking devices on the nasal mucosa
of healthy subjects. The results of the study suggest that the
use of newer smoking device technologies could cause nasal
mucosa alterations.
Endoscopic Versus Traditional Septoplasty:
A Prospective Randomized Trial of 84 Patients
Massimiliano Garzaro, MD (Presenter); Valeria Dell'Era;
Michele Cerasuolo; Massimo Campagnoli;
Paolo Aluffi Valletti
Objectives: A variety of surgical techniques of septoplasty
have been described. The aim of the present study was to evaluate the pros and cons of endoscopic approach to septal deviation in comparison with traditional septoplasty.
Methods: A noninferiority prospective randomized trial of
84 patients admitted for septoplasty between July 2018 and

Rhinology/Allergy

undergoing ESS for CRS were randomly assigned to traditional preoperative counseling (TPC) or to additionally receive
EVs prior to surgery. The primary outcome was preoperative
anxiety assessed by the State-Trait Anxiety Inventory (STAI).
Secondary outcomes included a 12-point knowledge questionnaire validated in this study, frequency of nasal irrigation per
day (NIPD), and postoperative anxiety, pain, and satisfaction
assessed on a visual analog scale from 0 to 10.
Results: There were 31 TPC patients and 26 EVs recruited.
Patient age (47.9 vs 45.3 years, P = .48) and sex (57% vs 65%
male, P = .51) were similar between TPC and EV. The TPC
and EV preoperative anxiety STAI scores (32.60 vs 34.78, P =
.40) were not significantly different. The EV patients had significantly better knowledge scores preoperatively (7.90 vs
10.36, P < .01) and postoperatively (8.72 vs 11.00, P < .01).
There was no significant difference between TPC and EV in
postoperative anxiety (STAI 30.72 vs 29.58, P  = .70), pain
(4.05 vs 3.33, P = .41), satisfaction (8.86 vs 8.83, P = .22), or
nasal irrigation (3.10 vs 3.33 NIPD).
Conclusions: Educational videos can improve patient knowledge of CRS and ESS; however, this does not affect patient
anxiety, satisfaction, or medication adherence.

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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts

Table of Contents for the Digital Edition of Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts

Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Contents
Accreditation Information
2020 President Duane J. Taylor, MD
2020 Annual Meeting Program Committee
2020 Star Reviewers
2020 Distinguished Service Award Recipients
2020 Honor Award Recipients
Honorary Guest Lecturers 2020
Panel Presentations
Oral Presentations
Poster Presentations
Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Intro
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover2
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A1
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A2
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Contents
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A5
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A6
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Accreditation Information
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 President Duane J. Taylor, MD
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Annual Meeting Program Committee
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P4
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Star Reviewers
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Honor Award Recipients
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P7
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Honorary Guest Lecturers 2020
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P9
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Panel Presentations
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P11
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P12
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P13
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P45
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Oral Presentations
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P47
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P48
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P49
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Poster Presentations
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P270
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P271
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P272
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P273
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P274
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P275
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P276
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P277
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P278
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P279
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P280
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P281
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P282
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P283
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P284
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P285
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P286
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P287
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P288
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P289
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P290
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P291
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P292
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P293
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P294
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P295
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P296
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P297
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P298
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P299
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P300
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P301
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P302
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P303
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P304
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P305
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P306
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P307
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P308
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P309
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P310
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P311
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P312
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P316
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P317
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P318
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P319
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P320
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P321
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P322
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P323
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P324
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P325
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P326
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P327
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P328
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P329
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P330
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P331
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P332
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover4
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