What is the optimal outcome after endoscopic sinus surgery in the treatment of chronic rhinosinusitis? A consultation of Canadian experts

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dc.contributor.authorSaydy, Nadim
dc.contributor.authorMoubayed, Sami P.
dc.contributor.authorBussières, Marie
dc.contributor.authorJanjua, Arif
dc.contributor.authorKilty, Shaun
dc.contributor.authorLavigne, François
dc.contributor.authorMonteiro, Eric
dc.contributor.authorNayan, Smriti
dc.contributor.authorPiché, Marilou
dc.contributor.authorSmith, Kristine
dc.contributor.authorSommer, Doron
dc.contributor.authorSowerby, Leigh
dc.contributor.authorTewfik, Marc A.
dc.contributor.authorWitterick, Ian J.
dc.contributor.authorWright, Erin
dc.contributor.authorDesrosiers, Martin
dc.date.accessioned2021-07-01T04:12:58Z
dc.date.issued2021-06-16
dc.date.updated2021-07-01T04:12:58Z
dc.description.abstractAbstract Objectives Many experts feel that in the absence of well-defined goals for success, they have an easier time identifying failure. As success ought to not be defined only by absence of failure, we aimed to define optimal outcomes for endoscopic sinus surgery (ESS) in chronic rhinosinusitis (CRS) by obtaining expert surgeon perspectives. Methods A total of 12 surgeons participated in this targeted consultation. Face to face semi-structured interviews were performed with expert surgeons in the field of CRS and ESS. General impressions and personal definitions of acceptable operative success and optimal operative outcomes were compiled and summarized. Results According to an expert survey, patients’ main objectives are an improvement in their chief complain, a general improvement in quality of life (QoL), and a better overall symptomatic control. The most important aspects of endoscopy for defining a successful intervention were an adequate mucus circulation, a healthy mucosa, minimal edema, and patency of all explored cavities or ostia. In the assessment of surgical outcomes, it was determined that both objective and patient reported data must be carefully examined, with more attention given to subjective outcomes. Conclusions According to data gathered from a Canadian expert consultation, a definition of success must be based on both subjective data and nasal endoscopy. We propose to define an acceptable outcome as either a subjective improvement of at least the minimal clinically improvement difference of a validated patient reported outcome questionnaire, along with a satisfactory endoscopic result (1) or a complete subjective resolution with a sub-optimal endoscopy (2). Graphical abstract
dc.identifier.citationJournal of Otolaryngology - Head & Neck Surgery. 2021 Jun 16;50(1):36
dc.identifier.urihttps://doi.org/10.1186/s40463-021-00519-9
dc.identifier.urihttp://hdl.handle.net/1993/35730
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderThe Author(s)
dc.titleWhat is the optimal outcome after endoscopic sinus surgery in the treatment of chronic rhinosinusitis? A consultation of Canadian experts
dc.typeJournal Article
local.author.affiliationRady Faculty of Health Sciencesen_US
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