London S D, Wheeler J C, Zachmann G C, Glasheen W P, Colley J L, Poulterer P H, Bander J A, Edlich R F, Gross C W
Department of Plastic Surgery, University of Virginia, USA.
Med Prog Technol. 1995;21(3):159-63.
This is the largest retrospective analysis of sinus surgery ever reported involving 5,860 surgical as well as 6,769 diagnostic sinus procedures during a six year period, 1988-1993. During this time interval, the frequency of endoscopic procedures has increased dramatically. Because of the increased frequency of this procedure, we see the need for strict definition of the clinical indications for surgery for patients with chronic or acute sinusitis. In addition, the number of open procedures, namely the Caldwell-Luc procedure, as a treatment for sinusitis remained relatively constant despite the frequent use of endoscopic technique. Because of the endoscopic surgery's increased acceptance and advantages over the open surgical technique, we emphasize the need for continuing educational programs to train surgeons to perform the endoscopic procedure or referral of the patient to an otolaryngologist experienced in this technique.
这是有史以来最大规模的鼻窦手术回顾性分析，涵盖了1988年至1993年六年期间的5860例外科手术以及6769例诊断性鼻窦手术。在此期间，内窥镜手术的频率急剧增加。由于该手术频率的增加，我们认为有必要严格界定慢性或急性鼻窦炎患者的手术临床指征。此外，尽管内窥镜技术使用频繁，但作为鼻窦炎治疗方法的开放性手术（即柯-陆氏手术）数量仍相对稳定。鉴于内窥镜手术比开放性手术技术更易被接受且具有优势，我们强调需要开展持续教育项目，以培训外科医生进行内窥镜手术，或将患者转诊给精通此技术的耳鼻喉科医生。
