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Revision Rates After Endoscopie Sinus Surgery: A Recurrence Analysis.

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Title: Revision Rates After Endoscopie Sinus Surgery: A Recurrence Analysis.
Authors: Mendelsohn, Daniel (AUTHOR), Jeremic, Goran (AUTHOR), Wright, Erin D. (AUTHOR), Rotenberg, Brian W. (AUTHOR)
Source: Annals of Otology, Rhinology & Laryngology. Mar2011, Vol. 120 Issue 3, p162-166. 5p.
Subjects: Paranasal sinus surgery, Sinusitis treatment, Nasal polyps, Nasal surgery, Analysis of variance, Asthma, Confidence intervals, Endoscopy, Epidemiology, Longitudinal method, Health outcome assessment, Reoperation, Statistical hypothesis testing, Statistics, Surgical complications, Survival analysis (Biometry), Time, Disease relapse, Data analysis, Treatment effectiveness, Proportional hazards models, Therapeutics
Geographic Terms: Ontario
Abstract: Objectives: Chronic rhinosinusitis with nasal polyposis is often refractory to medical and surgical management, especially in patients with asthma and aspirin intolerance. We used a contemporary database to investigate recurrence and revision surgery rates following endoscopie sinus surgery. Methods: We performed a cohort study using a survival analysis technique. Records were reviewed of 549 patients with nasal polyposis who underwent endoscopie sinus surgery over a 10-year period. The main outcome measure was disease- free and surgery-free survival following endoscopie sinus surgery, investigated with Kaplan-Meier analyses. Results: Patients with Samter's triad were significantly more likely to have a recurrence and undergo a second surgery following recurrence (risk-odds ratio, 2.7; 95% confidence interval, 1.5 to 3.2; p < 0.01) than were patients without asthma or with only asthma from the triad. The presence of initial frontal sinus disease also increased the likelihood of revision surgery (risk-odds ratio, 1.6; 95% confidence interval, 1.2 to 1.8; p < 0.05). Conclusions: This is the first study to use survival analysis to document revision surgery rates following endoscopie sinus surgery. Revision surgery occurs at a high rate, especially in patients with asthma, Samter's triad, or frontal sinus disease. Patients should routinely be informed during clinical consultations about the likelihood of recurrence. Early intervention for frontal sinus disease may be considered. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Objectives: Chronic rhinosinusitis with nasal polyposis is often refractory to medical and surgical management, especially in patients with asthma and aspirin intolerance. We used a contemporary database to investigate recurrence and revision surgery rates following endoscopie sinus surgery. Methods: We performed a cohort study using a survival analysis technique. Records were reviewed of 549 patients with nasal polyposis who underwent endoscopie sinus surgery over a 10-year period. The main outcome measure was disease- free and surgery-free survival following endoscopie sinus surgery, investigated with Kaplan-Meier analyses. Results: Patients with Samter&#39;s triad were significantly more likely to have a recurrence and undergo a second surgery following recurrence (risk-odds ratio, 2.7; 95% confidence interval, 1.5 to 3.2; p &lt; 0.01) than were patients without asthma or with only asthma from the triad. The presence of initial frontal sinus disease also increased the likelihood of revision surgery (risk-odds ratio, 1.6; 95% confidence interval, 1.2 to 1.8; p &lt; 0.05). Conclusions: This is the first study to use survival analysis to document revision surgery rates following endoscopie sinus surgery. Revision surgery occurs at a high rate, especially in patients with asthma, Samter&#39;s triad, or frontal sinus disease. Patients should routinely be informed during clinical consultations about the likelihood of recurrence. Early intervention for frontal sinus disease may be considered. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Annals of Otology, Rhinology &amp; Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=59372024
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1177/000348941112000304
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 5
        StartPage: 162
    Subjects:
      – SubjectFull: Paranasal sinus surgery
        Type: general
      – SubjectFull: Sinusitis treatment
        Type: general
      – SubjectFull: Nasal polyps
        Type: general
      – SubjectFull: Nasal surgery
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Asthma
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Endoscopy
        Type: general
      – SubjectFull: Epidemiology
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Health outcome assessment
        Type: general
      – SubjectFull: Reoperation
        Type: general
      – SubjectFull: Statistical hypothesis testing
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Surgical complications
        Type: general
      – SubjectFull: Survival analysis (Biometry)
        Type: general
      – SubjectFull: Time
        Type: general
      – SubjectFull: Disease relapse
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Proportional hazards models
        Type: general
      – SubjectFull: Therapeutics
        Type: general
      – SubjectFull: Ontario
        Type: general
    Titles:
      – TitleFull: Revision Rates After Endoscopie Sinus Surgery: A Recurrence Analysis.
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            NameFull: Mendelsohn, Daniel
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            NameFull: Wright, Erin D.
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            – D: 01
              M: 03
              Text: Mar2011
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              Y: 2011
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            – TitleFull: Annals of Otology, Rhinology & Laryngology
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