Does the Change in the Indications of Endoscopic Sinonasal Surgery Continue? Data between 1994-2018

Özet

Objective: Endoscopic sinonasal surgery (ESS) haschanging over the years in parallel with the developments in endoscopy devices, video-imaging techniques, and surgical instruments. In the present studywe investigated whether the indications of patientswho underwent surgery over a period of 25 years haveaccommodated to these changes.Methods: We retrospectively evaluated 1173 patients who underwent surgery in our clinic from1994 through 2007, and 954 patients who underwentsurgery from 2008 through 2018. The patients weredivided into three groups as follows: chronic rhinosinusitis with polyps (CRSwNP), chronic rhinosinusitiswithout polyps (CRSsNP), and others. The changes inthe indications during the first 14 years and the following 11 years were compared, and the results werestatistically evaluated.Results: A significant decrease was observed in thenumber of patients who underwent surgery following the diagnosis of CRSsNP (p<0.001). In addition, a statistically significant increase was found inCRSwNP (p<0.001) and other (p<0.001) indications.Conclusion: When ESS indications identified in ourclinic were reviewed, it was observed that the increasingtrend in CRSwNP rate in the first 14 years continued,there was a significant increase in non-CRS indicationsin the last 11 years, and there has been an increase inpatients with fungal sinusitis, especially in this group.