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Does the Change in the Indications of Endoscopic Sinonasal Surgery Continue? Data between 1994-2018.

Authors
  • Karakuş, Mehmet Fatih1
  • Özcan, Kürşat Murat1
  • Özcan, Müge1
  • Karakurt, Süleyman Emre1
  • Çetin, Mehmet Ali1
  • Çolak, Mustafa1
  • Eravcı, Fakih Cihat1
  • Yüksel, Yeşim2
  • Titiz, Ali3
  • Ünal, Adnan1
  • 1 Department of Otorhinolaryngology, University of Health Sciences Ankara Numune Training and Research Hospital, Ankara, Turkey. , (Turkey)
  • 2 Department of Otorhinolaryngology, University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey. , (Turkey)
  • 3 Clinic of Otorhinolaryngology, Acıbadem Ankara Hospital, Ankara, Turkey. , (Turkey)
Type
Published Article
Journal
Turkish archives of otorhinolaryngology
Publication Date
Mar 01, 2020
Volume
58
Issue
1
Pages
5–9
Identifiers
DOI: 10.5152/tao.2020.4828
PMID: 32313888
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Endoscopic sinonasal surgery (ESS) has changing over the years in parallel with the developments in endoscopy devices, video-imaging techniques, and surgical instruments. In the present study we investigated whether the indications of patients who underwent surgery over a period of 25 years have accommodated to these changes. We retrospectively evaluated 1173 patients who underwent surgery in our clinic from 1994 through 2007, and 954 patients who underwent surgery from 2008 through 2018. The patients were divided into three groups as follows: chronic rhinosinusitis with polyps (CRSwNP), chronic rhinosinusitis without polyps (CRSsNP), and others. The changes in the indications during the first 14 years and the following 11 years were compared, and the results were statistically evaluated. A significant decrease was observed in the number of patients who underwent surgery following the diagnosis of CRSsNP (p<0.001). In addition, a statistically significant increase was found in CRSwNP (p<0.001) and other (p<0.001) indications. When ESS indications identified in our clinic were reviewed, it was observed that the increasing trend in CRSwNP rate in the first 14 years continued, there was a significant increase in non-CRS indications in the last 11 years, and there has been an increase in patients with fungal sinusitis, especially in this group. © Copyright 2020 by Official Journal of the Turkish Society of Otorhinolaryngology and Head and Neck Surgery.

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