The sinus surgery completeness score: a radiological assessment of the extent of endoscopic sinus surgery.

IF 1.9 3区 医学 Q2 OTORHINOLARYNGOLOGY
Keshav Kumar Gupta, Saleh Okhovat, Rishi Sharma, Alison Lim, Thomas Beech, Lisha McClelland, Arif Janjua, Karan Jolly
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引用次数: 0

Abstract

Purpose: Chronic rhinosinusitis (CRS) often requires endoscopic sinus surgery (ESS) for symptom control. However, there is currently a high reported revision rate. The introduction of biologics offers an alternative treatment, but patient criteria are ambiguous, particularly regarding the definition of "previous ESS." This study aims to introduce the Sinus Surgery Completeness Score (SSCS) to help evaluate the extent of ESS as well as evaluate the extent of sinus surgery in the study cohort.

Methods: The SSCS was developed by expert rhinologists and anterior skull base surgeons and applied to computed tomography (CT) sinus scans of 41 CRS patients who underwent previous ESS. Inter-rater reliability was assessed, and statistical analysis was performed to correlate SSCS scores with Lund-Mackay (LM) and Sinonasal Outcome Test-22 (SNOT-22) scores.

Results: The SSCS demonstrated strong inter-rater reliability (Fleiss Kappa score 0.857). The mean time to complete the SCSS was 2.7 min. Most patients had incomplete surgery with a mean SCSS of 7.40 (total 24) with no patients achieving a maximum score. The maxillary sinus was the most dissected subunit, with frontal and sphenoid sinuses being the least. Weak negative correlations were observed between the SSCS and LM and SNOT-22 scores.

Conclusions: The SSCS is a useful tool for assessing the completeness of sinus surgery, offering a standardized approach to evaluating surgical outcomes. While further research is needed to elucidate the relationship between surgical completeness and patient outcomes, the SSCS holds promise in guiding patient management including informing decisions regarding eligibility for biologic therapy.

鼻窦手术完整性评分:内镜鼻窦手术程度的放射学评估。
目的:慢性鼻窦炎(CRS)通常需要内窥镜鼻窦手术(ESS)来控制症状。然而,目前报告的修订率很高。生物制剂的引入提供了另一种治疗方法,但患者的标准是模糊的,特别是关于“既往ESS”的定义。本研究旨在引入鼻窦手术完整性评分(SSCS)来帮助评估研究队列中ESS的程度以及鼻窦手术的程度。方法:由鼻内科专家和前颅底外科医生开发的SSCS应用于41例既往行ESS的CRS患者的计算机断层扫描(CT)鼻窦扫描。评估评分间信度,并对ssc评分与隆德-麦基(LM)和鼻窦炎预后测试-22 (SNOT-22)评分进行相关性统计分析。结果:SSCS具有较强的量表间信度(Fleiss Kappa评分0.857)。完成SCSS的平均时间为2.7分钟。大多数患者手术不完全,平均SCSS为7.40(共24),没有患者达到最高评分。上颌窦是解剖最多的亚单位,额窦和蝶窦最少。SSCS与LM和SNOT-22评分呈弱负相关。结论:SSCS是评估鼻窦手术完整性的有用工具,为评估手术结果提供了标准化的方法。虽然需要进一步的研究来阐明手术完整性和患者预后之间的关系,但SSCS有望指导患者管理,包括告知有关生物治疗资格的决定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.30
自引率
7.70%
发文量
537
审稿时长
2-4 weeks
期刊介绍: Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.
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