Quality of life and complications following image-guided endoscopic sinus surgery
To compare the quality of life (QOL) outcome and incidence of complications following image-guided versus non–image-guided endoscopic sinus surgery (ESS). The operative, office, and hospital charts of patients who underwent primary ESS for chronic sinusitis by a single surgeon with (2002-2005) or wi...
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 2006-07, Vol.135 (1), p.76-80 |
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| creator | Tabaee, Abtin Hsu, Amy K. Shrime, Mark G. Rickert, Scott Close, Lanny Garth |
| description | To compare the quality of life (QOL) outcome and incidence of complications following image-guided versus non–image-guided endoscopic sinus surgery (ESS).
The operative, office, and hospital charts of patients who underwent primary ESS for chronic sinusitis by a single surgeon with (2002-2005) or without (1997-2002) image guidance were reviewed for patient demographics, incidence of complications, and revision procedures. A telephone survey was used to administer the QOL survey to both cohorts.
In comparing patients who underwent image-guided (60) versus non–image-guided surgery (179), respectively, there was no statistically significant difference in the incidence of major intraoperative complications (6.6% vs 5.6%), major postoperative complications (5% vs 3.9%), revision procedures (6.6% vs 7.3%), and postoperative SNOT-20 symptom scores (23.6 vs 23.4). A higher incidence of intraoperative cerebrospinal fluid leak was noted in the non–image-guided group (0% vs 2.2%).
Our study does not demonstrate an improvement in the incidence of complications, need for revision procedures, or quality-of-life outcome for patients undergoing primary ESS for chronic sinusitis. The use of image guidance may result in a lower incidence of skull base trauma and cerebrospinal fluid leak.
EBM rating: B-2b |
| doi_str_mv | 10.1016/j.otohns.2006.02.038 |
| format | Article |
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The operative, office, and hospital charts of patients who underwent primary ESS for chronic sinusitis by a single surgeon with (2002-2005) or without (1997-2002) image guidance were reviewed for patient demographics, incidence of complications, and revision procedures. A telephone survey was used to administer the QOL survey to both cohorts.
In comparing patients who underwent image-guided (60) versus non–image-guided surgery (179), respectively, there was no statistically significant difference in the incidence of major intraoperative complications (6.6% vs 5.6%), major postoperative complications (5% vs 3.9%), revision procedures (6.6% vs 7.3%), and postoperative SNOT-20 symptom scores (23.6 vs 23.4). A higher incidence of intraoperative cerebrospinal fluid leak was noted in the non–image-guided group (0% vs 2.2%).
Our study does not demonstrate an improvement in the incidence of complications, need for revision procedures, or quality-of-life outcome for patients undergoing primary ESS for chronic sinusitis. The use of image guidance may result in a lower incidence of skull base trauma and cerebrospinal fluid leak.
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The operative, office, and hospital charts of patients who underwent primary ESS for chronic sinusitis by a single surgeon with (2002-2005) or without (1997-2002) image guidance were reviewed for patient demographics, incidence of complications, and revision procedures. A telephone survey was used to administer the QOL survey to both cohorts.
In comparing patients who underwent image-guided (60) versus non–image-guided surgery (179), respectively, there was no statistically significant difference in the incidence of major intraoperative complications (6.6% vs 5.6%), major postoperative complications (5% vs 3.9%), revision procedures (6.6% vs 7.3%), and postoperative SNOT-20 symptom scores (23.6 vs 23.4). A higher incidence of intraoperative cerebrospinal fluid leak was noted in the non–image-guided group (0% vs 2.2%).
Our study does not demonstrate an improvement in the incidence of complications, need for revision procedures, or quality-of-life outcome for patients undergoing primary ESS for chronic sinusitis. The use of image guidance may result in a lower incidence of skull base trauma and cerebrospinal fluid leak.
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The operative, office, and hospital charts of patients who underwent primary ESS for chronic sinusitis by a single surgeon with (2002-2005) or without (1997-2002) image guidance were reviewed for patient demographics, incidence of complications, and revision procedures. A telephone survey was used to administer the QOL survey to both cohorts.
In comparing patients who underwent image-guided (60) versus non–image-guided surgery (179), respectively, there was no statistically significant difference in the incidence of major intraoperative complications (6.6% vs 5.6%), major postoperative complications (5% vs 3.9%), revision procedures (6.6% vs 7.3%), and postoperative SNOT-20 symptom scores (23.6 vs 23.4). A higher incidence of intraoperative cerebrospinal fluid leak was noted in the non–image-guided group (0% vs 2.2%).
Our study does not demonstrate an improvement in the incidence of complications, need for revision procedures, or quality-of-life outcome for patients undergoing primary ESS for chronic sinusitis. The use of image guidance may result in a lower incidence of skull base trauma and cerebrospinal fluid leak.
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| subjects | Adolescent Adult Aged Endoscopy - methods Female Follow-Up Studies Humans Male Middle Aged Otorhinolaryngologic Surgical Procedures - methods Otorhinolaryngologic Surgical Procedures - psychology Paranasal Sinus Diseases - psychology Paranasal Sinus Diseases - surgery Paranasal Sinuses - surgery Quality of Life Retrospective Studies Surgery, Computer-Assisted - methods Surveys and Questionnaires Treatment Outcome |
| title | Quality of life and complications following image-guided endoscopic sinus surgery |
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