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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
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Shifting paradigms in endoscopic sinus surgery: a comprehensive analysis from Japan's national database
Seiichiro Makihara1, Kensuke Uraguchi1,2, Shohei Fujimoto1
1Department of Otolaryngology-Head & Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Acta Oto-Laryngologica
|August 12, 2024
Summary
Japan
Area of Science:
- Otolaryngology
- Surgical Trends
- Health Services Research
Background:
- Japan implemented a standardized Endoscopic Sinus Surgery (ESS) classification (Types I-V) in 2013.
- No prior evaluation of this ESS classification system existed.
Purpose of the Study:
- To assess national trends and status of Endoscopic Sinus Surgery (ESS) in Japan.
- To analyze outpatient versus inpatient ESS procedures and their characteristics.
Main Methods:
- Descriptive retrospective cohort study utilizing Japan's National Database of Health Insurance Claims.
- Analysis of 427,813 ESS procedures from 2014 to 2021, focusing on ESS Type III distribution, patient demographics, and regional variations.
Main Results:
- ESS Types III and IV were the most frequent procedures.
- A significant increase in outpatient ESS Type III was observed, particularly among younger patients.
- Substantial regional disparities in ESS Type III adoption were identified.
Conclusions:
- The standardized ESS classification aids in understanding surgical trends in Japan.
- The rise in outpatient ESS Type III reflects a global shift towards minimally invasive surgery and evolving healthcare practices.
- Ongoing research is vital for adapting ESS to changing patient needs and healthcare landscapes.
