title: Outcomes of endoscopic ethmoidectomy performed on a day-case basis: a prospective bi-centric study.
abstract: Evaluation of endoscopic ethmoidectomy performed as a day-case in terms of security, quality, and satisfaction of the patient. This prospective observatory bi-centric study over 1 year included 74 patients undergoing an ethmoidectomy respecting the eligibility criteria of ambulatory care. We recorded patients' demographic data, operative details, satisfaction, postoperative course, and follow-up results. Nasal symptoms were evaluated by SNOT-22 on preoperative appointment and postoperatively at D30. No non-absorbable nasal packing was used, eventually in the case of preoperative-bleeding absorbable gelatine packing. The postoperative follow-up took place at D1 by phone call and at D10 and D30 to assess complications, Visual Analogue Scale, and state of ethmoidal corridors by endoscopic exam. Patients benefited of bilateral ethmoidectomy in 82.4 % cases associated with septoplasty in 42 %. The majority (95 %) was discharged on the same day. Only one patient had bleeding at D0 and was kept in standard hospitalization, such as three other patients for medical or organizational reasons not related to surgery. At D1, 23 % described postoperative light bleeding but needed no revisit and pain was estimated at 1.3 (VAS). No readmission was observed, and no major complication was noted. SNOT-22 decreased successfully by 56 %, statistically related to postoperative treatment of corticosteroids and in the case of Samter triad. 97 % of patients were satisfied of the ambulatory care. These results suggest that within an experienced and dedicated day-case medical and paramedical team, ethmoidectomy can be safely performed on a day-case basis with high quality of taking care and satisfaction of patients.
authors.affiliation: Service d'ORL et Chirurgie de la Face et du Cou, Hôpital Lariboisière, Aphp, 2, rue Ambroise Paré, Paris Cedex 10, France. n.oker@hotmail.fr.|Université Paris Diderot, U.F.R. de Médecine Paris Diderot-Paris 7, 10 avenue de Verdun, 75010, Paris, France. n.oker@hotmail.fr.
authors.forename: N
authors.initials: N
authors.lastname: Oker
authors.affiliation: Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalo-Universitaire Gabriel Montpied, 58 Rue Montalembert, 63000, Clermont-Ferrand, France.|Faculté de Médecine Clermont-Ferrand, Université d'Auvergne, 28 place Henri Dunant, 63001, Clermont-Ferrand, France.
authors.forename: V
authors.initials: V
authors.lastname: Dupuch
authors.affiliation: Service d'ORL et Chirurgie de la Face et du Cou, Hôpital Lariboisière, Aphp, 2, rue Ambroise Paré, Paris Cedex 10, France.|Université Paris Diderot, U.F.R. de Médecine Paris Diderot-Paris 7, 10 avenue de Verdun, 75010, Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Herman
authors.affiliation: Service d'ORL et Chirurgie de la Face et du Cou, Hôpital Lariboisière, Aphp, 2, rue Ambroise Paré, Paris Cedex 10, France.|Université Paris Diderot, U.F.R. de Médecine Paris Diderot-Paris 7, 10 avenue de Verdun, 75010, Paris, France.
authors.forename: N
authors.initials: N
authors.lastname: Leclerc
authors.affiliation: Service d'ORL et Chirurgie de la Face et du Cou, Hôpital Lariboisière, Aphp, 2, rue Ambroise Paré, Paris Cedex 10, France.|Université Paris Diderot, U.F.R. de Médecine Paris Diderot-Paris 7, 10 avenue de Verdun, 75010, Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Vironneau
authors.affiliation: Service d'ORL et Chirurgie de la Face et du Cou, Hôpital Lariboisière, Aphp, 2, rue Ambroise Paré, Paris Cedex 10, France.|Université Paris Diderot, U.F.R. de Médecine Paris Diderot-Paris 7, 10 avenue de Verdun, 75010, Paris, France.
authors.forename: H
authors.initials: H
authors.lastname: Dang
authors.affiliation: Service d'ORL et Chirurgie de la Face et du Cou, Hôpital Lariboisière, Aphp, 2, rue Ambroise Paré, Paris Cedex 10, France.|Université Paris Diderot, U.F.R. de Médecine Paris Diderot-Paris 7, 10 avenue de Verdun, 75010, Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Majer
authors.affiliation: Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalo-Universitaire Gabriel Montpied, 58 Rue Montalembert, 63000, Clermont-Ferrand, France.|Faculté de Médecine Clermont-Ferrand, Université d'Auvergne, 28 place Henri Dunant, 63001, Clermont-Ferrand, France.
authors.forename: R
authors.initials: R
authors.lastname: Pastourel
authors.affiliation: Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalo-Universitaire Gabriel Montpied, 58 Rue Montalembert, 63000, Clermont-Ferrand, France.|Faculté de Médecine Clermont-Ferrand, Université d'Auvergne, 28 place Henri Dunant, 63001, Clermont-Ferrand, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Pavier
authors.affiliation: Service d'ORL et Chirurgie de la Face et du Cou, Hôpital Lariboisière, Aphp, 2, rue Ambroise Paré, Paris Cedex 10, France.|Université Paris Diderot, U.F.R. de Médecine Paris Diderot-Paris 7, 10 avenue de Verdun, 75010, Paris, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Blancal
authors.affiliation: Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalo-Universitaire Gabriel Montpied, 58 Rue Montalembert, 63000, Clermont-Ferrand, France.|Faculté de Médecine Clermont-Ferrand, Université d'Auvergne, 28 place Henri Dunant, 63001, Clermont-Ferrand, France.
authors.forename: N
authors.initials: N
authors.lastname: Saroul
authors.affiliation: Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalo-Universitaire Gabriel Montpied, 58 Rue Montalembert, 63000, Clermont-Ferrand, France.|Faculté de Médecine Clermont-Ferrand, Université d'Auvergne, 28 place Henri Dunant, 63001, Clermont-Ferrand, France.
authors.forename: T
authors.initials: T
authors.lastname: Mom
authors.affiliation: Service d'ORL et Chirurgie de la Face et du Cou, Hôpital Lariboisière, Aphp, 2, rue Ambroise Paré, Paris Cedex 10, France.|Université Paris Diderot, U.F.R. de Médecine Paris Diderot-Paris 7, 10 avenue de Verdun, 75010, Paris, France.
authors.forename: R
authors.initials: R
authors.lastname: Kania
authors.affiliation: Unité de Recherche Clinique (URC) Saint-Louis Lariboisière Fernand-Widal, 200 rue du Faubourg St Denis, Paris Cedex 10, France.
authors.forename: E
authors.initials: E
authors.lastname: Vicaut
authors.affiliation: Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalo-Universitaire Gabriel Montpied, 58 Rue Montalembert, 63000, Clermont-Ferrand, France.|Faculté de Médecine Clermont-Ferrand, Université d'Auvergne, 28 place Henri Dunant, 63001, Clermont-Ferrand, France.
authors.forename: L
authors.initials: L
authors.lastname: Gilain
authors.affiliation: Service d'ORL et Chirurgie de la Face et du Cou, Hôpital Lariboisière, Aphp, 2, rue Ambroise Paré, Paris Cedex 10, France.|Université Paris Diderot, U.F.R. de Médecine Paris Diderot-Paris 7, 10 avenue de Verdun, 75010, Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Verillaud
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000379:methods / Q000706:statistics & numerical data; D004844:Epistaxis / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D005005:Ethmoid Sinus / Q000601:surgery*; D005260:Female; D005602:France; D006488:Hemostasis, Surgical / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D059747:Nasal Surgical Procedures / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D057605:Natural Orifice Endoscopic Surgery / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D010043:Outcome and Process Assessment, Health Care; D057240:Patient Preference; D011183:Postoperative Complications / Q000175:diagnosis / Q000517:prevention & control; D011446:Prospective Studies; D012225:Rhinoplasty; D016896:Treatment Outcome
keywords: Day care surgery; Endoscopic sinus surgery; Epistaxis; FESS; Postoperative complications; SNOT-22; Total ethmoidectomy