Hildenbrand Tanja, Knopf Andreas, Ketterer Manuel Christoph
Klinik für Hals-, Nasen- und Ohrenheilkunde, Universitätsklinikum Freiburg, Germany.
Laryngorhinootologie. 2020 Jan;99(1):37-44. doi: 10.1055/a-1028-7742. Epub 2019 Oct 29.
Sinus surgery has evolved dramatically over the last decades towards endonasal endoscopic techniques for the treatment of benign and malignant diseases of the paranasal sinuses. The aim of this survey was to capture the current state of sinus surgery in German ENT departments.
A questionnaire with questions regarding number of surgeries, surgical technique, interdisciplinary cooperation, postoperative care, CT-checklists, surgical training and quality of life was sent to all ENT departments in Germany.
79.5 % of questionnaires were answered and returned. 89.1 % of ENT departments state that they conduct 200-400 or more than 400 sinus surgeries per year for benign diseases of the paranasal sinuses. The number of sinus surgeries for malignancies of the paranasal sinuses is much smaller. Not all of the departments who take part in interdisciplinary tumor boards work in interdisciplinary surgical teams. Most of the departments declare that they use video endoscopy and surgical navigation systems for their surgeries. Surgical training for sinus surgery usually starts in year 2 to 4 and almost all trainees visit dissection courses during their training. In more than half of the departments CT checklists are used for preoperative analyses of CT scans. Quality of life before and after surgery is evaluated in only a few departments.
Our investigation is a representative survey of current practice in sinus surgery in ENT departments in Germany.
在过去几十年中，鼻窦手术已朝着鼻内镜技术大幅发展，用于治疗鼻窦的良性和恶性疾病。本次调查的目的是了解德国耳鼻喉科科室鼻窦手术的现状。
向德国所有耳鼻喉科科室发送了一份问卷，问题涉及手术数量、手术技术、多学科合作、术后护理、CT检查清单、手术培训和生活质量。
79.5%的问卷得到回复并返回。89.1%的耳鼻喉科科室表示，他们每年针对鼻窦良性疾病进行200 - 40个或超过个鼻窦手术鼻窦恶性肿瘤手术的数量要少得多。并非所有参与多学科肿瘤委员会的科室都在多学科手术团队中工作。大多数科室宣称他们在手术中使用视频内镜和手术导航系统。鼻窦手术培训通常从第2年到第4年开始，几乎所有实习生在培训期间都会参加解剖课程。超过一半的科室使用CT检查清单对CT扫描进行术前分析。只有少数科室评估手术前后的生活质量。
我们的调查是对德国耳鼻喉科科室鼻窦手术当前实践的一项代表性调查。
