Molony N C, Ah-See K W
Department of Otolaryngology, Royal Infirmary, Edinburgh, UK.
Clin Otolaryngol Allied Sci. 1998 Aug;23(4):331-8. doi: 10.1046/j.1365-2273.1998.00155.x.
Recent years have seen a rapid growth in the practice of functional endoscopic sinus surgery (FESS). Its introduction into clinical practice has, however, been conspicuous by an absence of good scientific evidence that it is superior to previous techniques. This postal questionnaire survey aimed to identify the diversity in the practice of FESS at a national level and, as a result, highlights areas of patient management requiring standardization. All full members of the British Association of Otolaryngologists--Head and Neck Surgeons (BAO-HNS) were contacted, 64% responded: 14% of surgeons do not always perform preoperative computerized tomography (CT) scanning; only 25% use grading systems for symptoms and/or CT assessment; a wide variety of topical agents are used both before and after operation; nearly half (47%) no longer operate principally under endoscopic vision but via TV monitors; and the majority of surgeons review patients more than 1 week after surgery with a minority advocating earlier postoperative assessment.
近年来，功能性鼻内镜鼻窦手术（FESS）的应用迅速增加。然而，将其引入临床实践时，明显缺乏有力的科学证据证明它优于先前的技术。这项邮寄问卷调查旨在确定全国范围内FESS实践的多样性，从而突出患者管理中需要标准化的领域。英国耳鼻喉科医师协会——头颈外科（BAO-HNS）的所有正式成员均收到了问卷，64%的人进行了回复：14%的外科医生并非总是进行术前计算机断层扫描（CT）；只有25%的人使用症状分级系统和/或CT评估；手术前后使用了各种各样的局部用药；近一半（47%）的人不再主要在内镜直视下进行手术，而是通过电视监视器；大多数外科医生在术后1周以上才对患者进行复查，少数人主张更早进行术后评估。
