title: [Health services research on paranasal sinus surgery in Thuringia: epidemiologic key data and outcome].
abstract: BACKGROUND
  Although modern minimal-invasive paranasal sinus surgery is an integral part of clinical routine of otorhinolaryngologic surgeons, there are no population-based data on incidence and efficiency of this surgery published.
  
  
  METHODS
  1,582 patients underwent paranasal sinus surgery in the 8 Thuringian departments of otorhinolaryngology in 2005. All patients were analysed regarding patients' characteristics, therapy, complications and further course of disease.
  
  
  RESULTS
  The incidence of paranasal sinus surgery was 46/100,000 for women and higher for men with 72/100,000. Median age was 48 years. Chronic sinusitis was the main reason for surgery (94%; including 33% with nasal polyps) and was performed dominantly as endoscopic sinus surgery (96%). Surgery was performed bilaterally in 75% of the cases and as primary surgery. In most cases at least 2 paranasal sinuses per side were approached. Relevant complications were observed in 4% of patients. During the follow-up time of 45-51 months a recurrence was observed in 9% of cases. Using a multivariate regression analysis, revision surgery, allergic subject and diagnosis of a malignant tumor were significant independent risk factors to predict a recurrence. Older age and longer time of surgery were significant independent risk factors for a complication.
  
  
  CONCLUSIONS
  This population based analysis is showing that modern paranasal sinus surgery is performed in high incidence, effectively and with low-risk on a large scale in daily routine of rhinologic surgeons.
authors.affiliation: Die Institutsangaben sind am Ende des Beitrags gelistet.
authors.forename: C
authors.initials: C
authors.lastname: Seyring
authors.forename: T
authors.initials: T
authors.lastname: Bitter
authors.forename: D
authors.initials: D
authors.lastname: Böger
authors.forename: J
authors.initials: J
authors.lastname: Büntzel
authors.forename: D
authors.initials: D
authors.lastname: Eßer
authors.forename: K
authors.initials: K
authors.lastname: Hoffmann
authors.forename: P
authors.initials: P
authors.lastname: Jecker
authors.forename: A
authors.initials: A
authors.lastname: Müller
authors.forename: G
authors.initials: G
authors.lastname: Radtke
authors.forename: O
authors.initials: O
authors.lastname: Guntinas-Lichius
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D004724:Endoscopy / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany; D006302:Health Services Research / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000706:statistics & numerical data*; D009298:Nasal Polyps / Q000453:epidemiology* / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000453:epidemiology* / Q000601:surgery*; D010256:Paranasal Sinuses / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D012852:Sinusitis / Q000453:epidemiology* / Q000601:surgery*; D016896:Treatment Outcome; D014600:Utilization Review / Q000706:statistics & numerical data; D055815:Young Adult