A national audit of sinus surgery. Results of the Royal College of Surgeons of England comparative audit of ENT surgery.
The results of a national audit of sinus surgery are presented. Forty-six consultant ENT surgeons reported on over 2500 sinus procedures. There has been an exponential rise in the number of surgeons in England and Wales performing functional endoscopic sinus surgery (FESS) in recent years. Sixty-five per cent of surgeons in our study used the FESS technique and 81% had formal or other training. Outpatient sinus endoscopy and CT scans have become more routine pre-operative investigations, whilst the use of plain films has waned. There was a wide variation in the numbers of FESS procedures performed by individual surgeons in the 6-month period (between 5 and 85). The overall complication rate was 0.75% for conventional surgery and 1.41% for functional surgery but no major complications were recorded. The primary symptom of blockage was most successfully treated by both conventional and functional surgery (70% and 84% asymptomatic or improved at 6 months). Pain was relieved in 75% of functional procedures and 47% of conventional procedures and discharge relieved in 76% of FESS procedures and 47% of conventional procedures.
Harkness
P
P
Surgical Epidemiology and Audit Unit, The Royal College of Surgeons of England, London, UK.
Brown
P
P
Fowler
S
S
Topham
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D004724:Endoscopy / Q000009:adverse effects / Q000706:statistics & numerical data; D004739:England / Q000453:epidemiology; D005122:Exudates and Transudates; D005260:Female; D013502:General Surgery; D006801:Humans; D008297:Male; D008485:Medical Audit / Q000706:statistics & numerical data*; D008875:Middle Aged; D010036:Otolaryngology / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care; D010146:Pain / Q000601:surgery; D010254:Paranasal Sinus Diseases / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000601:surgery; D011127:Polyps / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology; D012220:Rhinitis / Q000601:surgery; D012852:Sinusitis / Q000601:surgery; D012955:Societies, Medical; D014057:Tomography, X-Ray Computed / Q000706:statistics & numerical data; D014852:Wales / Q000453:epidemiology