Quality of life and complications following image-guided endoscopic sinus surgery
Quality of life and complications following image-guided endoscopic sinus surgery
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DOI：
10.1016/j.otohns.2006.02.038
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发表时间：
2006-07-01
影响因子：
3.4
通讯作者：
Close, Lanny Garth
中科院分区：
文献类型：
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作者：
Tabaee, Abtin;Hsu, Amy K.;Close, Lanny Garth
目标：比较影像引导与非影像引导内窥镜鼻窦手术（ESS）后的生活质量（QOL）结局和并发症发生率。研究设计：由一名外科医生对慢性鼻窦炎进行初次ESS的患者的手术、办公室和医院图表，对（2002-2005年）或无（1997-2002年）图像引导的患者人口统计学资料、并发症发生率和翻修手术进行了审查。使用电话调查对两个队列进行QOL调查。分别比较接受图像引导手术（60例）和非图像引导手术（179例）的患者，术中主要并发症的发生率无统计学显著差异（6.6% vs 5.6%）、严重术后并发症（5% vs 3.9%）、翻修手术（6.6% vs 7.3%）和术后SNOT-20症状评分（23.6 vs 23.4）。非影像引导组术中脑脊液漏发生率更高（0% vs 2.2%）。结论：我们的研究并未证明慢性鼻窦炎行初次ESS患者的并发症发生率、翻修手术需求或生活质量结局有所改善。影像引导的使用可降低颅底创伤和脑脊液漏的发生率。
OBJECTIVES: To compare the quality of life (QOL) outcome and incidence of complications following image-guided versus non-image-guided endoscopic sinus surgery (ESS).STUDY DESIGN: The operative, office, and hospital charts of patients who underwent primary ESS for chronic sinusitis by a single surgeon with (2002-2005) or without (1997-2002) image guidance were reviewed for patient demographics, incidence of complications, and revision procedures. A telephone survey was used to administer the QOL survey to both cohorts.RESULTS: In comparing patients who underwent image-guided (60) versus non-image-guided surgery (179), respectively, there was no statistically significant difference in the incidence of major intraoperative complications (6.6% vs 5.6%), major postoperative complications (5% vs 3.9%), revision procedures (6.6% vs 7.3%), and postoperative SNOT-20 symptom scores (23.6 vs 23.4). A higher incidence of intraoperative cerebrospinal fluid leak was noted in the non-image-guided group (0% vs 2.2%).CONCLUSIONS: Our study does not demonstrate an improvement in the incidence of complications, need for revision procedures, or quality-of-life outcome for patients undergoing primary ESS for chronic sinusitis. The use of image guidance may result in a lower incidence of skull base trauma and cerebrospinal fluid leak.