Evaluating the Efficacy and Trend of Sinus Surgery

Area of Science:

• Otolaryngology
• Surgical Outcomes Research

Background:

• Chronic sinusitis affects millions, necessitating effective surgical interventions.
• Quality of life (QOL) assessment is crucial for evaluating sinus surgery outcomes.
• The Sino-Nasal Outcome Test-22 (SNOT-22) is a validated QOL instrument for sinus surgery.

Purpose of the Study:

• To assess the long-term efficacy of sinus surgery using QOL measures.
• To identify the optimal time point for evaluating surgical success.
• To determine if surgical outcomes improve with cumulative yearly experience.

Main Methods:

• A prospective study involving 661 patients undergoing sinus surgery from 2009-2016.
• Patients completed the SNOT-22 questionnaire preoperatively and at 3, 6, and 12 months postoperatively.
• Patients were divided into two groups based on follow-up completion for efficacy analysis.

Main Results:

• Group A (complete follow-up) showed 84.9% efficacy at 12 months.
• Group B (partial follow-up) demonstrated comparable efficacy, reaching 84.3% at 12 months.
• An 8-year trend analysis revealed significant yearly improvement in surgical outcomes (ANOVA linear rate of 1.594).

Conclusions:

• Sinus surgery demonstrates sustained long-term efficacy in improving sinus disease symptoms.
• Six months postoperatively is a reliable time point for assessing surgical efficacy.
• Surgical outcomes show a positive trend of improvement over an 8-year period.