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[PMID]:29390536
[Au] Autor:Kim JS; Noh SJ; Ryu SH
[Ad] Endereço:Department of Otolaryngology-Head and Neck Surgery, Chonbuk National University.
[Ti] Título:Osteoma with actinomycosis in a nasal cavity: A case report.
[So] Source:Medicine (Baltimore);96(51):e9376, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Osteoma with actinomycosis is a very rare disease in the nasal cavity. PATIENT CONCERNS: We report a case of a 17-year-old female student who presented with nasal obstruction and rhinorrhea for 6 months. DIAGNOSES: The preoperative finding was osteoma covered with yellowish polypoid material. INTERVENTIONS: We performed endoscopic sinus surgery, which included excision of the tumor and medication with oral penicillin for 8 weeks. OUTCOMES: Postoperative recovery was uneventful. There was no evidence of tumor recurrence during the 1-year period after surgery. CONCLUSION: Anaerobic conditions as a result of allergic rhinitis and narrowed nasal cavity because of osteoma can be the cause of formation of actinomycosis. Clinicians should note that osteoma with actinomycosis can be treated with surgical removal of the tumor and short-term antibiotic therapy.
[Mh] Termos MeSH primário: Actinomicose/diagnóstico
Neoplasias Ósseas/diagnóstico
Septo Nasal
Osteoma/diagnóstico
[Mh] Termos MeSH secundário: Actinomicose/etiologia
Adolescente
Neoplasias Ósseas/complicações
Feminino
Seres Humanos
Osteoma/complicações
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009376


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[PMID]:29390419
[Au] Autor:Park P; Kim J; Song YJ; Lim JH; Cho SW; Won TB; Han DH; Kim DY; Rhee CS; Kim HJ
[Ad] Endereço:Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Korea.
[Ti] Título:Influencing factors on CPAP adherence and anatomic characteristics of upper airway in OSA subjects.
[So] Source:Medicine (Baltimore);96(51):e8818, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Although continuous positive airway pressure (CPAP) is the most effective treatment modality, poor adherence still remains a problem for obstructive sleep apnea (OSA) treatment and there is little evidence regarding how this might be improved. This study aims to analyze the anatomic and clinical factors of OSA subjects who failed to comply with CPAP therapy.The medical records of 47 OSA subjects who received CPAP therapy as a first-line treatment modality were retrospectively reviewed. The medical records were reviewed for demographic and polysomnographic data and anatomic findings of the nasal cavity and oropharynx.24 patients who adhered to CPAP therapy and 23 patients who were nonadherent were enrolled in the study. There were no statistically significant differences in sleep parameters between CPAP-adherent patients and CPAP nonadherent subjects. Mean body mass index of CPAP nonadherent group was significantly higher than CPAP adherent group. Higher grades of septal deviation and hypertrophic change of the inferior turbinate were observed more in the CPAP nonadherent group. In addition, CPAP nonadherent subjects showed considerably bigger tonsils and higher grade palatal position comparing with the CPAP adherent subjects. Subjective discomfort including inconvenience, mouth dryness, and chest discomfort were the main problems for OSA subjects who did not comply with CPAP therapy.Excessive upper airway blockage in the nasal cavity and oropharynx was predominant in CPAP nonadherent subjects, which might cause the reported subjective discomfort that reduces CPAP compliance. Therefore, resolution of these issues is needed to enhance CPAP compliance for control of OSA.
[Mh] Termos MeSH primário: Pressão Positiva Contínua nas Vias Aéreas
Cooperação do Paciente
Apneia Obstrutiva do Sono/terapia
[Mh] Termos MeSH secundário: Adulto
Idoso
Endoscopia
Feminino
Seres Humanos
Laringe/fisiopatologia
Masculino
Meia-Idade
Septo Nasal/fisiopatologia
Tonsila Palatina/fisiopatologia
Estudos Retrospectivos
Traqueia/fisiopatologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008818


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[PMID]:29336423
[Au] Autor:Karki S; Pokharel M; Suwal S; Poudel R
[Ad] Endereço:Department of Radiology, Dhulikhel Hospital, Kathmandu University Hospital, Dhulihel, Kavre, Nepal.
[Ti] Título:Prevalence of Anatomical Variations of the Sinonasal Region and their Relationship with Chronic Rhinosinusitis.
[So] Source:Kathmandu Univ Med J (KUMJ);14(56):342-346, 2016 Oct.-Dec..
[Is] ISSN:1812-2078
[Cp] País de publicação:Nepal
[La] Idioma:eng
[Ab] Resumo:Background Precise knowledge of anatomic variations of nose and paranasal sinus complex is essential for achieving best surgical results during endoscopic sinus surgery. Computed tomography is the gold standard investigation for evaluation of paranasal sinuses and adjacent structures. Objective To study prevalence of anatomical variations of nose, paranasal sinuses and osteomeatal complex and to identify a probable association between anatomical variations and chronic rhinosinusitis. Method Prospective, analytical study conducted in 218 patients with Chronic rhinosinusitis in Department of Radiology, Dhulikhel Hospital, Kathmandu University Hospital between January 2015 to January 2016. Volumetric axial CT scan was done in 128 slice CT scanner in 3mm thickness from frontal sinus to floor of maxillary sinus with thin multiplanar reconstruction. Radiological findings were reviewed and obtained data analyzed with SPSS version 16. Pearson chi square test and Pearson correlation coefficient were used for statistical analysis. Result The most common anatomical variation was pneumatized agger nasi cells followed by concha bullosa and deviated nasal septum respectively. Statistical significance were seen between ipsilateral agger nasi cell and frontal sinusitis (p< 0.001), ipsilateral haller cell and concha bullosa with maxillary sinusitis (p<0.001) and onodi cell with sphenoid sinusitis (p<0.001), However, no obvious statistical correlation was noted between deviated nasal septum with ipsilateral maxillary sinusitis. Conclusion Precise knowledge of anatomic variations of the paranasal sinuses is important in chronic rhinosinusitis to prevent possible complications during surgery. Computed tomography is the modality of choice in evaluation of paranasal sinuses and adjacent structures.
[Mh] Termos MeSH primário: Seios Paranasais/anatomia & histologia
Sinusite/patologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Doença Crônica
Endoscopia
Feminino
Hospitais Universitários
Seres Humanos
Masculino
Meia-Idade
Septo Nasal
Seios Paranasais/diagnóstico por imagem
Seios Paranasais/patologia
Prevalência
Estudos Prospectivos
Sinusite/diagnóstico por imagem
Sinusite/cirurgia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180117
[St] Status:MEDLINE


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[PMID]:29280883
[Au] Autor:Tanna N; Nguyen KT; Ghavami A; Calvert JW; Guyuron B; Rohrich RJ; Gruber RP
[Ad] Endereço:New York, N.Y.; Beverly Hills and Palo Alto, Calif.; Cleveland, Ohio; and Dallas Texas From the Division of Plastic and Reconstructive Surgery, Northwell Health, Hofstra Northwell School of Medicine; the Division of Plastic and Reconstructive Surgery, University of California, Los Angeles; the Division of Plastic and Reconstructive Surgery, University of Southern California; the Department of Plastic and Reconstructive Surgery, Case Western Reserve University; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; and the Division of Plastic and Reconstructive Surgery, Stanford University.
[Ti] Título:Evidence-Based Medicine: Current Practices in Rhinoplasty.
[So] Source:Plast Reconstr Surg;141(1):137e-151e, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Perform aesthetic and functional nasal analysis to guide septorhinoplasty. 2. Recognize common complications associated with rhinoplasty. 3. Select appropriate septorhinoplasty techniques to refine nasal aesthetics and treat nasal airway obstruction. 4. Identify factors leading to poor patient satisfaction following rhinoplasty. SUMMARY: Septorhinoplasty is among the most technically challenging procedures in the realm of plastic and reconstructive surgery. Moreover, it is a constantly evolving topic with extensive background literature. Surgeons must be comfortable with the traditional knowledge base and the current practices in the field. This article reviews the latest thinking on patient selection, functional indications, aesthetic analysis, and operative techniques in septorhinoplasty, with an emphasis on key cartilage grafting and tip suture techniques.
[Mh] Termos MeSH primário: Rinoplastia/métodos
[Mh] Termos MeSH secundário: Cartilagem/transplante
Estética
Medicina Baseada em Evidências
Seres Humanos
Septo Nasal/cirurgia
Osteotomia/métodos
Satisfação do Paciente
Complicações Pós-Operatórias/diagnóstico
Complicações Pós-Operatórias/prevenção & controle
Cuidados Pré-Operatórios/métodos
Técnicas de Sutura
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003977


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[PMID]:29280861
[Au] Autor:Toriumi DM
[Ad] Endereço:Chicago, Ill. From the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Illinois at Chicago.
[Ti] Título:Discussion: Septum-Based Nasal Tip Plasty: A Comparative Study between Septal Extension Graft and Double-Layered Conchal Cartilage Extension Graft.
[So] Source:Plast Reconstr Surg;141(1):57-58, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Cartilagens Nasais/transplante
Nariz/cirurgia
[Mh] Termos MeSH secundário: Cartilagem/cirurgia
Seres Humanos
Septo Nasal/cirurgia
Rinoplastia
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000004125


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[PMID]:29095315
[Au] Autor:Lee DH; Yoon TM; Lee JK; Lim SC
[Ad] Endereço:Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Jeonnam, Korea.
[Ti] Título:Nasoseptal flap reconstruction after oropharyngeal cancer resection: A case report.
[So] Source:Medicine (Baltimore);96(44):e8527, 2017 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: The nasoseptal flap has been widely used to reconstruct skull base defects with excellent success rates. Recently, there were several attempts to use this flap for other defects. Patient concerns: We present the case of the nasoseptal flap reconstruction after oropharyngeal cancer resection. DIAGNOSIS: The diagnosis of this patient was oropharyngeal T3 squamous cell carcinoma. INTERVENTIONS: The surgical resection included the right radical tonsillectomy, uvular, and part of the soft palate and hard palate. The nasoseptal flap was sutured to the oropharyngeal defect. OUTCOMES: In spite of the radiation therapy, the nasoseptal flap was well healed to the oropharyngeal defect. LESSONS: We suggest that the nasoseptal flap may be a feasible reconstruction option for oropharyngeal defect after oropharyngeal cancer resection.
[Mh] Termos MeSH primário: Carcinoma de Células Escamosas/cirurgia
Septo Nasal/transplante
Neoplasias Orofaríngeas/cirurgia
Procedimentos Cirúrgicos Reconstrutivos/métodos
Retalhos Cirúrgicos
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
Masculino
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171103
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008527


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[PMID]:28953723
[Au] Autor:Cochran CS; Sieber DA
[Ad] Endereço:Dallas, Texas; and San Francisco, Calif. From the Dallas Rhinoplasty Center; the Departments of Plastic Surgery and Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center; and Sieber Plastic Surgery.
[Ti] Título:Extended Alar Contour Grafts: An Evolution of the Lateral Crural Strut Graft Technique in Rhinoplasty.
[So] Source:Plast Reconstr Surg;140(4):559e-567e, 2017 Oct.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Modification of the lower lateral cartilage complex is the sine qua non of modern rhinoplasty, and the open approach to rhinoplasty has expanded the number of techniques available to help achieve an aesthetically pleasing tip. The ideal tip has been described as having a diamond-shaped configuration, with the lateral points formed by the tip-defining points, the superior point by the supratip, and the inferior point by the columellar break point. Over the years, various techniques have been described to minimize isolation of the tip and to help achieve the ideal tip configuration: lateral crural strut grafts, alar contour grafts (i.e., rim grafts), alar strut grafts, subdomal grafts, and suturing techniques such as alar flaring sutures. The authors present their technique of the extended alar contour graft, which represents an evolution of the lateral crural strut graft and its marriage with the alar contour graft. Lateral crural abnormalities do not usually occur singularly, but rather are the result of an interplay of several factors. Nevertheless, the recurring theme of orientation and alar support to prevent isolation of the tip by extended alar grooves remains. Extended alar contour grafts are a versatile technique to optimize tip shape and orientation by combining the many positive attributes of lateral crural strut grafts and alar contour grafts.
[Mh] Termos MeSH primário: Cartilagem/transplante
Septo Nasal/cirurgia
Deformidades Adquiridas Nasais/cirurgia
Rinoplastia/métodos
Técnicas de Sutura/instrumentação
Suturas
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; TECHNICAL REPORT; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170928
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003719


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[PMID]:28831833
[Au] Autor:Gall R; Bevans S; Robitschek J
[Ad] Endereço:1 Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
[Ti] Título:Postoperative Nasal Septal Abscess Following Use of 2-Octylcyanoacrylate and Polydioxanone Plate in Open Septorhinoplasty: A Case Series.
[So] Source:Ann Otol Rhinol Laryngol;126(10):688-692, 2017 Oct.
[Is] ISSN:1943-572X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The employment of 2-octylcyanoacrylate adhesive (Dermabond) to assist graft placement in open septorhinoplasty has been increasingly used to stabilize cartilage grafts. Literature regarding this application has been mixed, with some showing the possibility of increased rates of inflammation, if not infection. We present an original comparative case series involving postoperative septal abscess formation adjacent to caudal strut grafting where both Dermabond and an absorbable polydioxanone (PDS) plate were used. OBJECTIVE: To report an original comparative case series of patients who developed a postoperative septal abscess following open septorhinoplasty in the context of Dermabond application to affix cartilage to a PDS plate to facilitate caudal septal strut grafting. DESIGN: Retrospective comparative series with relevant clinical photographs, culture studies, and surgical figures. SETTING: Tertiary medical treatment facility. RESULTS: Two patients underwent primary open septorhinoplasty with placement of an autologous caudal septal extension graft, which was stabilized using a PDS plate and secured into position using both Dermabond and PDS suture. Postoperatively, both patients presented a nasal septal abscess at an average of 8 weeks that required serial drainage and subsequent removal of the PDS plate in 1 of the patients. Cultures demonstrated mixed flora as well as Proteus mirabilis, previously unreported in the nasal septal abscess literature. In comparison to 8 patients who underwent reconstruction with PDS plate alone (without Dermabond application), this represents a relative risk of 15 ( P value = .053) for a septal abscess complication when Dermabond is employed . CONCLUSIONS: We present an original case series on our limited, though impactful experience with PDS plate reconstruction using Dermabond to facilitate caudal septal graft placement in open septorhinoplasty. In conjunction with previously reported case series, which demonstrated elevated risk of prolonged inflammation and infection, we would recommend avoidance of subcutaneous Dermabond as an adjunct, particularly in combination with PDS plate utilization.
[Mh] Termos MeSH primário: Abscesso/etiologia
Cianoacrilatos/efeitos adversos
Septo Nasal/cirurgia
Rinoplastia
Adesivos Teciduais/efeitos adversos
[Mh] Termos MeSH secundário: Abscesso/microbiologia
Implantes Absorvíveis
Adulto
Feminino
Seres Humanos
Polidioxanona
Complicações Pós-Operatórias
Proteus mirabilis/isolamento & purificação
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Cyanoacrylates); 0 (Tissue Adhesives); 31621-87-1 (Polydioxanone); 6C655P1XVG (octyl 2-cyanoacrylate)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE
[do] DOI:10.1177/0003489417727013


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[PMID]:28683847
[Au] Autor:Crosbie RA; Clement WA; Kubba H
[Ad] Endereço:Department of Paediatric Otorhinolaryngology,Royal Hospital for Children,Glasgow,Scotland,UK.
[Ti] Título:Paediatric orbital cellulitis and the relationship to underlying sinonasal anatomy on computed tomography.
[So] Source:J Laryngol Otol;131(8):714-718, 2017 Aug.
[Is] ISSN:1748-5460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess if there is an association between sinonasal anatomical variants and the risk of developing orbital cellulitis and associated complications, in children. METHODS: A retrospective case-control series was conducted, examining computed tomography confirmed sinonasal anatomical variants of septal deviation and concha bullosa in children who presented with periorbital cellulitis who went on to develop orbital cellulitis and abscesses. RESULTS: Thirty children had a Chandler score of 2 or greater on computed tomography. Mean age was seven years and there was relatively equal sex distribution. There was no association between presence of concha bullosa and side of disease (odds ratio = 1), and no statistically significant difference between septal deviation and ipsilateral orbital infection (p = 0.125). CONCLUSION: There was no statistical correlation between any sinonasal bony or cartilaginous anatomical variants on computed tomography and orbital complications of acute rhinosinusitis in our paediatric cohort. The findings do not support the theory that these anatomical variants predispose to orbital cellulitis occurring in these children, nor complications thereof.
[Mh] Termos MeSH primário: Celulite Orbitária/diagnóstico por imagem
Seios Paranasais/diagnóstico por imagem
Rinite/complicações
Sinusite/complicações
Tomografia Computadorizada por Raios X/métodos
[Mh] Termos MeSH secundário: Doença Aguda
Estudos de Casos e Controles
Criança
Pré-Escolar
Feminino
Seres Humanos
Masculino
Septo Nasal/anormalidades
Septo Nasal/diagnóstico por imagem
Celulite Orbitária/etiologia
Seios Paranasais/anormalidades
Estudos Retrospectivos
Rinite/diagnóstico por imagem
Sinusite/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170708
[St] Status:MEDLINE
[do] DOI:10.1017/S0022215117001347


  10 / 6653 MEDLINE  
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[PMID]:28655057
[Au] Autor:Rudmik L; Xu Y; Alt JA; Deconde A; Smith TL; Schlosser RJ; Quan H; Soler ZM
[Ad] Endereço:Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Calgary, Calgary, Alberta, Canada.
[Ti] Título:Evaluating Surgeon-Specific Performance for Endoscopic Sinus Surgery.
[So] Source:JAMA Otolaryngol Head Neck Surg;143(9):891-898, 2017 Sep 01.
[Is] ISSN:2168-619X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Several identified factors have raised questions concerning the quality of care for endoscopic sinus surgery (ESS), including the presence of large geographic variation in the rates and extent of surgery, poorly defined indications, and lack of ESS-specific quality metrics. Combined with the risk of major complications, ESS represents a high-value target for quality improvement. Objective: To evaluate differences in surgeon-specific performance for ESS using a risk-adjusted, 5-year ESS revision rate as a quality metric. Design, Setting, and Participants: This retrospective study used a population-based administrative database to study adults (≥18 years of age) with chronic rhinosinusitis (CRS) who underwent primary ESS in Alberta, Canada, between March 1, 2007, and March 1, 2010. The study period ended in 2015 to provide 5 years of follow-up. Interventions: Endoscopic sinus surgery for CRS. Main Outcomes and Measures: Primary outcomes were the 5-year observed and risk-adjusted ESS revision rate. Logistic regression was used to develop a risk adjustment model for the primary outcome. Results: A total of 43 individual surgeons performed primary ESS in 2168 patients with CRS. Within 5 years after the primary ESS procedure, 239 patients underwent revision ESS, and the mean crude 5-year ESS revision rate was 10.6% (range, 2.4%-28.6%). After applying the risk adjustment model and 95% CI to each surgeon, 7 surgeons (16%) had lower-than-expected performance and 2 surgeons (5%) had higher-than-expected performance. Three variables had significant associations with surgeon-specific, 5-year ESS revision rates: presence of nasal polyps (odds ratio [OR], 2.07; 95% CI, 1.59-2.70), more annual systemic corticosteroid courses (OR, 1.33; 95% CI, 1.19-1.48), and concurrent septoplasty (OR, 0.70; 95% CI, 0.55-0.89). Conclusions and Relevance: Evaluating surgeon-specific performance for ESS may provide information to assist in quality improvement. Although most surgeons had comparable risk-adjusted, 5-year ESS revision rates, 16% of surgeons had lower-than-expected performance, indicating a potential to improve quality of care. Future studies are needed to evaluate more surgeon-specific variables and validate a risk adjustment model to provide appropriate feedback for quality improvement.
[Mh] Termos MeSH primário: Endoscopia
Avaliação de Resultados (Cuidados de Saúde)
Reoperação/estatística & dados numéricos
Rinite/cirurgia
Sinusite/cirurgia
[Mh] Termos MeSH secundário: Adulto
Alberta
Doença Crônica
Glucocorticoides/uso terapêutico
Seres Humanos
Pólipos Nasais/complicações
Septo Nasal/cirurgia
Garantia da Qualidade dos Cuidados de Saúde
Melhoria de Qualidade
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Glucocorticoids)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE
[do] DOI:10.1001/jamaoto.2017.0752



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