Maxillary Sinus Puncture: A Traditional Procedure in Decline-Insights from SHIP.

Area of Science:

• Otorhinolaryngology
• Epidemiology
• Public Health

Background:

• Maxillary sinus puncture (MSP) was historically central to diagnosing and treating acute rhinosinusitis (ARS).
• Less invasive techniques have led to a decline in MSP utilization.
• This study investigates MSP trends and long-term quality of life impacts.

Purpose of the Study:

• To analyze the prevalence and demographic correlations of Maxillary Sinus Puncture (MSP).
• To evaluate the long-term effects of MSP on quality of life.
• To understand the changing role of MSP in managing sinonasal conditions.

Main Methods:

• Analysis of data from three cohorts of the Study of Health in Pomerania (SHIP-START-2, SHIP-START-3, SHIP-TREND-0).
• Assessment of MSP prevalence, age-related correlations, and quality of life using SNOT-20-D, EQ-5D-3L, and SF-12 questionnaires.
• Statistical analysis to determine associations between MSP and health outcomes.

Main Results:

• MSP prevalence was higher in older cohorts and participants over 60 years, indicating a historical decline.
• MSP was associated with increased symptom burden (SNOT-20-D scores).
• Minor reductions in general health scores (EQ-5D-3L, SF-12 mental health) were observed, suggesting limited long-term general health impact.

Conclusions:

• The age- and time-related decline in MSP highlights its diminishing role in contemporary medical practice.
• While MSP provides diagnostic value for ARS, its limited long-term quality-of-life impact supports the use of alternative, minimally invasive procedures.
• Further research into minimally invasive techniques for sinonasal conditions is warranted.