A Novel International Endoscopic Sphenoid Surgery Classification (IESSC): A Delphi Consensus.

IF 7.2 2区医学 Q1 OTORHINOLARYNGOLOGY

International Forum of Allergy & Rhinology Pub Date : 2025-03-24 DOI:10.1002/alr.23572

Hussain Albaharna, Abdulaziz Alrasheed, Abdulaziz AlQahtani, Alkis J Psaltis, Amin Javer, Cem Meco, Christos Georgalas, Eric W Wang, Isam Alobid, Kazuhiro Omura, Luis Fernando Macias-Valle, Marc Tewfik, Narayanan Prepageran, Paolo Battaglia, Paolo Castelnuovo, Ricardo Carrau, Richard Douglas, Richard Harvey, Roy R Casiano, Shahzada Ahmed, Saad Alsaleh

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引用次数: 0

Abstract

Background: Advancements in endoscopic sinus and skull base surgery created a need for standardized terminology to describe sphenoid sinus surgery. Although classification systems exist for other sinuses, one for endoscopic sphenoid sinus surgery is lacking. Developing such a system would standardize procedure descriptions and promote a common language among surgeons. This study aimed to develop a new classification system for endoscopic sphenoid surgery.

Methods: Consensus on a novel endoscopic sphenoid surgery classification system by running the Delphi procedure with 16 rhinology experts from around the world.

Results: Four Delphi rounds were required to reach a consensus on all stages of the classification. The average percentage of agreement on the stages of classification progressively increased from 70.83% in the first round to 87.68% in the last round. The rejection rates continuously decreased from 8.81% in the first round to 4.44% in the last round. The classification system was developed as follows: stage 1, presphenoid surgery; stage 2A, partial sphenoidotomy; stage 2B, complete sphenoidotomy; stage 2C, transpterygoid sphenoidotomy; stage 3A, Rostral sphenoidectomy; and stage 3B, extended sphenoid drill-out.

Conclusions: This novel endoscopic sphenoid surgery classification system facilitates the description of different sphenoid sinus procedures, providing surgeons with better opportunities for discussion and communication.

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一种新的国际内镜下蝶骨手术分类（IESSC）：德尔菲共识。

背景：内窥镜鼻窦和颅底手术的发展需要标准化的术语来描述蝶窦手术。虽然存在其他鼻窦的分类系统，但缺乏内窥镜蝶窦手术的分类系统。开发这样的系统将使手术描述标准化，并促进外科医生之间的通用语言。本研究旨在建立一种新的内镜下蝶骨手术分类系统。方法：通过与来自世界各地的16位鼻科学专家的德尔菲程序，就一种新的内镜下蝶骨手术分类系统达成共识。结果：四个德尔菲轮需要达成共识的所有阶段的分类。对各阶段分类的平均同意率由第一轮的70.83%逐步上升到最后一轮的87.68%。拒绝率从第一轮的8.81%持续下降到最后一轮的4.44%。分类系统如下：第一阶段，蝶前手术；2A期，部分蝶窦切开术；2B期，全蝶窦切开术；2C期，蝶窦切开术；3A期，鼻侧蝶骨切除术；阶段3B，扩展蝶骨钻出。结论：这种新的内镜下蝶窦手术分类系统便于对不同蝶窦手术的描述，为外科医生提供了更好的讨论和交流机会。

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

International Forum of Allergy & Rhinology OTORHINOLARYNGOLOGY-

CiteScore

11.70

自引率

10.90%

发文量

185

审稿时长

6-12 weeks

期刊介绍： International Forum of Allergy & Rhinologyis a peer-reviewed scientific journal, and the Official Journal of the American Rhinologic Society and the American Academy of Otolaryngic Allergy. International Forum of Allergy Rhinology provides a forum for clinical researchers, basic scientists, clinicians, and others to publish original research and explore controversies in the medical and surgical treatment of patients with otolaryngic allergy, rhinologic, and skull base conditions. The application of current research to the management of otolaryngic allergy, rhinologic, and skull base diseases and the need for further investigation will be highlighted.