The evolution of sinus surgery in England in the last decade - An observational study

作     者：Keshav Kumar Gupta Karan Jolly Navdeep Bhamra Max Sallis Osborne Shahzada Khuram Ahmed Gupta Keshav Kumar;Jolly Karan;Bhamra Navdeep;Osborne Max Sallis;Ahmed Shahzada Khuram

作者机构：Department of OtolaryngologyNew Cross HospitalThe Royal Wolverhampton NHS TrustWolverhamptonWV100QPUnited Kingdom Department of OtolaryngologyQueen Elizabeth HospitalUniversity Hospitals Birmingham NHS Foundation TrustBirminghamB152THUnited Kingdom 

出 版 物：《World Journal of Otorhinolaryngology-Head and Neck Surgery》 (世界耳鼻咽喉头颈外科杂志（英文）)

年 卷 期：2021年第7卷第3期

页      面：240-246页

学科分类：1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学] 

主　　题：Endoscopic sinus surgery Sphenoid Ethmoid Frontal Maxillary Sinus 

摘      要：Background and objective::Sinus surgery has seen significant changes over the years with advancements in instruments,endoscopes and *** study aimed to use Hospital Episode Statistics(HES)data to review the total number of sinus related procedures performed in both adults and children across England and identify whether there were any trends across the study *** predicted an increase in endoscopic sinus procedures with a decline in open approaches to the paranasal ***::Data from HES was extracted for the years *** operative(OPCS-4)codes relevant to all sinus procedures between E12.1 and E17.9 were *** examination of overall sinus related procedures,further subgroup analysis was performed with regards to open or endoscopic ***::The total number of sinus procedures performed between 2010 and 2019 was 89,*** was an increase in endoscopic surgeries by 21.1%and a decrease of open surgeries 35.3%during this *** was an overall increase in maxillary,frontal and sphenoid sinus procedures,with a decrease in ethmoid sinus and lateral rhinotomy *** was an increase in the proportion of endoscopic cases overall by 5.7%and for all sinuses ***::Overall,we see an increase in sinus surgery over the last 9 years from 2010 to *** findings are in keeping with our initial *** our data set is limited by coding,and lack of patient factors,it represents most,if not all,of the data in England over a large study *** is therefore useful to add to previous studies when demonstrating the increasing popularity of endoscopic sinus surgery over open procedures.