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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Changes in indications for endoscopic sinonasal surgery over 14 years
M F Karakus1, K M Ozcan, M Ozcan
1Ankara Numune Education and Research Hospital 4th ENT Clinic, Ankara, Turkey. mfkarakus@yahoo.com
B-ENT
|February 21, 2009
Summary
Surgical indications for endoscopic sinonasal surgery have shifted. Fewer patients now undergo surgery for chronic sinusitis without nasal polyps, while more are treated for chronic sinusitis with nasal polyps.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Outcomes
Background:
- Endoscopic sinonasal surgery is a common treatment for various sinonasal conditions.
- Understanding trends in surgical indications is crucial for optimizing patient care and resource allocation.
Purpose of the Study:
- To evaluate the evolution of surgical indications for endoscopic sinonasal surgery over a 14-year period.
Main Methods:
- Retrospective review of 1173 patients undergoing endoscopic sinonasal surgery from 1994 to 2007.
- Analysis of preoperative diagnoses and trends in surgical indications over time.
Main Results:
- Chronic sinusitis without nasal polyps decreased as an indication from over 60% (1994-1999) to less than 40% (2001-2007).
- Chronic sinusitis with nasal polyps increased as an indication, comprising nearly 60% of surgeries in the later period (2001-2007).
- Other indications included concha bullosa, nasal masses, and anatomical variations.
Conclusions:
- The shift may be attributed to maximal medical therapy, improved diagnostic interpretation (CT scans), enhanced surgical experience, and increased surgical success for nasal polyps.
- Improved surgical techniques and understanding of recurrence patterns likely influenced the increased surgical rates for chronic sinusitis with nasal polyps.
