Perioperative care in functional endoscopic sinus surgery: A survey study

Rafael Antonio Portela, Jessica Hootnick, Johnathan McGinn

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background: Functional endoscopic sinus surgery (FESS) is largely viewed as the standard of care in the treatment of chronic rhinosinusitis (CRS) refractory to medical treatment. While there is an understanding regarding the importance of some form of routine postoperative FESS care, no consensus currently exists regarding what the specific management routine should include. The authors of this survey study did not intend to examine the efficacy of such treatment protocols, but rather to determine and report on the current practice patterns of perioperative FESS care among otolaryngologists. Methods: This survey study was designed in accordance with and approved by our institutional review board. The online-based survey was designed using the online product SurveyMonkey®. A total of 859 otolaryngologists were identified and email addresses were obtained from the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) website directory. Responses were collected anonymously. Results: Our survey response rate was 32%. Multiple parameters of the otolaryngologists' perioperative care were collected. Among the data, some consistent patterns emerged: 93.2% of respondents use nasal saline irrigations postoperatively; 86.8% of otolaryngologists surveyed prescribe antibiotics in the immediate postoperative period; and office-based endoscopic sinus debridements are performed by a majority (87.9%) of those surveyed. Conclusion: This survey study demonstrates that current practices in perioperative FESS care can vary widely among otolaryngologists, and are not uniformly based on evidence-based outcomes research. Despite the lack of absolutes regarding the specific perioperative care in FESS, practice patterns emerge from the data regarding typical perioperative management among current otolaryngologists.

Original languageEnglish (US)
Pages (from-to)27-33
Number of pages7
JournalInternational Forum of Allergy and Rhinology
Volume2
Issue number1
DOIs
StatePublished - Jan 1 2012

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Perioperative Care
Nasal Lavage
Directories
Research Ethics Committees
Otolaryngology
Debridement
Standard of Care
Clinical Protocols
Postoperative Period
Otolaryngologists
Surveys and Questionnaires
Neck
Head
Outcome Assessment (Health Care)
Anti-Bacterial Agents
Therapeutics

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Otorhinolaryngology

Cite this

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title = "Perioperative care in functional endoscopic sinus surgery: A survey study",
abstract = "Background: Functional endoscopic sinus surgery (FESS) is largely viewed as the standard of care in the treatment of chronic rhinosinusitis (CRS) refractory to medical treatment. While there is an understanding regarding the importance of some form of routine postoperative FESS care, no consensus currently exists regarding what the specific management routine should include. The authors of this survey study did not intend to examine the efficacy of such treatment protocols, but rather to determine and report on the current practice patterns of perioperative FESS care among otolaryngologists. Methods: This survey study was designed in accordance with and approved by our institutional review board. The online-based survey was designed using the online product SurveyMonkey{\circledR}. A total of 859 otolaryngologists were identified and email addresses were obtained from the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) website directory. Responses were collected anonymously. Results: Our survey response rate was 32{\%}. Multiple parameters of the otolaryngologists' perioperative care were collected. Among the data, some consistent patterns emerged: 93.2{\%} of respondents use nasal saline irrigations postoperatively; 86.8{\%} of otolaryngologists surveyed prescribe antibiotics in the immediate postoperative period; and office-based endoscopic sinus debridements are performed by a majority (87.9{\%}) of those surveyed. Conclusion: This survey study demonstrates that current practices in perioperative FESS care can vary widely among otolaryngologists, and are not uniformly based on evidence-based outcomes research. Despite the lack of absolutes regarding the specific perioperative care in FESS, practice patterns emerge from the data regarding typical perioperative management among current otolaryngologists.",
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Perioperative care in functional endoscopic sinus surgery : A survey study. / Portela, Rafael Antonio; Hootnick, Jessica; McGinn, Johnathan.

In: International Forum of Allergy and Rhinology, Vol. 2, No. 1, 01.01.2012, p. 27-33.

Research output: Contribution to journalArticle

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