J Rhinol.  2015 Nov;22(2):82-88. 10.18787/jr.2015.22.2.82.

Practice Patterns in Endoscopic Sinus Surgery: Survey of the Korean Rhinologic Society

• Jung YG
• Dhong HJ
• Park YJ

• KMID: 2223202
• DOI: http://doi.org/10.18787/jr.2015.22.2.82

Abstract

BACKGROUND AND OBJECTIVES
Endoscopic sinus surgery (ESS) has become the standard treatment modality in chronic rhinosinusitis. However there is no uniform treatment protocol regarding preoperative, intraoperative, and postoperative care. The objectives of this study are to identify and report the practice patterns of ESS in South Korea. MATERIALS AND METHOD: A series of eight surveys were sent to the board members of the Korean Rhinologic Society via e-mail between August 2013 and September 2014. Responses to questions regarding detailed practice patterns were recorded anonymously.
RESULTS
The average number of replies to each survey was 41.5. Routine antibiotics were prescribed just before computed tomography by 46.9% of the respondents, and the mean duration of antibiotics treatment was 1.90 weeks. A routine preoperative olfactory test was conducted by 64.3% of respondents, and allergy tests were conducted by 82.2%. General anesthesia was preferred by 76.8%, and the mean hospitalization period was 3.12 days. The mean rotation speed used for a microdebrider was 3,054 rpm, and 3,000 rpm was selected by 51.6% of the respondents. In addition, 74.2% of respondents reported that they operate the foot switch themselves. Finally, an absorbable pack was preferred after ESS.
CONCLUSION
The current study was the first nationwide survey on practice patterns in endoscopic sinus surgery in Korea, and the data reflects the opinions of expert sinus surgeons.

Keyword

Sinusitis; Paranasal sinuses; Preoperative care; Intraoperative; Postoperative; Endoscopic sinus surgery

MeSH Terms

Anesthesia, General
Anonyms and Pseudonyms
Anti-Bacterial Agents
Clinical Protocols
Surveys and Questionnaires
Electronic Mail
Foot
Hospitalization
Hypersensitivity
Korea
Paranasal Sinuses
Postoperative Care
Preoperative Care
Sinusitis
Anti-Bacterial Agents

Figure

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  Fig. 1. A: Duration of antibiotics treatment before preoperative computed tomography (CT). B: CT scan time before endoscopic sinus surgery. Horizontal bar indicates median value and vertical bar indicates interquartile range.

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  Fig. 2. The difference in duration of hospital stay between training (referral) hospital and private hospital when doing bilateral endoscopic sinus surgery involving whole sinuses. There was a significant difference between two groups (p＜0.001, Mann-Whitney U test). Horizontal bar indicates median value and vertical bar indicates interquartile range. H: Hospital.

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  Fig. 3. The distribution of first outpatient visit day after endoscopic sinus surgery. Horizontal bar indicates median value and vertical bar indicates interquartile range. Postop OPD visit: post-op-erative first outpatient department visit.

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  Fig. 4. The distribution of rotation speed when microdebrider is used as oscillation mode in endoscopic sinus surgery. Horizontal bar indicates median value and vertical bar indicates interquartile range.

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  Fig. 5. The difference of packing removal time between Nasopore and Merocel after endoscopic sinus surgery. There was a significant difference between two groups (p＜0.001, Mann-Whit-ney U test). Horizontal bar indicates median value and vertical bar indicates interquartile range.

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  Fig. 6. The difference in time when patient starts sinus irrigation after removal of nasal packing between non-absorbable and absorbable packing material. Statistical analysis was not carried out because the meaning of “ removal” is different in non-absorbable and absorbable material.

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  Fig. 7. A: Sinus irrigation frequency after endoscopic sinus surgery. B: The amount of solution which was used during sinus irrigation each time. Horizontal bar indicates median value and vertical bar indicates interquartile range.

Reference

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