Pilot Study of Outcomes in Pediatric Rhinosinusitis

Rosenfeld, Richard M.

doi:10.1001/archotol.1995.01890070015005

Cited by 125 publications

(109 citation statements)

References 12 publications

Supporting

Mentioning

107

Contrasting

Unclassified

Order By: Relevance

“…3 In otolaryngology, outcomes research has been used primarily in the assessment of QoL in head and neck cancer and when evaluating specific treatments for disorders such as otitis media, sinusitis and obstructive sleep apnoea. [4][5][6] 1 It was concluded that a number of procedures with 'limited clinical benefit' were being performed in the NHS on a regular basis. Septorhinoplasty, which incorporates a cosmetic element, was one of the procedures on this list and is currently only carried out in the UK on a case-by-case funding basis.…”

Section: Discussionmentioning

confidence: 99%

Patient reported outcome measures in septorhinoplasty surgery

Biggs

Fraser

Ward

et al. 2015

annals

View full text Add to dashboard Cite

INTRODUCTION Surgical procedures incorporating a cosmetic element such as septorhinoplasty and otoplasty are currently under threat in the National Health Service (NHS) as they are deemed to be procedures of 'limited clinical benefit' by many primary care providers. Patient reported outcome measures (PROMs), which assess the quality of care delivered from the patients' perspective, are becoming increasingly important in documenting the effectiveness of such procedures. METHODS The Rhinoplasty Outcomes Evaluation (ROE) questionnaire, a validated PROM tool, was used to assess patient satisfaction in 141 patients undergoing septorhinoplasty surgery over a 90-month period at the University Hospital Southampton NHS Foundation Trust. RESULTS Overall, 100 patients with a mean follow-up period of 36 months completed the study. The mean ROE score was 73.3%. In addition, 75% of patients questioned were happy with the final result of their operation and 83% would undergo the procedure again if required. These benefits occurred irrespective of age, sex and primary versus revision surgery, and were maintained for up to 71 months following surgery. CONCLUSIONS This study has shown that patients are generally satisfied with their functional and cosmetic outcomes following septorhinoplasty surgery. These results help support the case for septorhinoplasty surgery to continue being funded as an NHS procedure.

show abstract

Section: Discussionmentioning

confidence: 99%

Patient reported outcome measures in septorhinoplasty surgery

Biggs

Fraser

Ward

et al. 2015

annals

View full text Add to dashboard Cite

show abstract

“…The adenoids do not necessarily have to be hyperplastic to achieve a satisfactory response from surgery. Rosenfeld 12 suggested a stepped treatment approach in that adenoidectomy should be considered before FESS even if the adenoids are unobstructive. In the study by Ramadan, 13 the success rate was 77% in the endoscopic sinus surgery group and 47% in the adenoidectomy group.…”

Section: Commentmentioning

confidence: 99%

Functional Endoscopic Sinus Surgery in Children Using a Limited Approach

Lee¹,

Huang²,

Lai³

et al. 2004

Arch Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

To evaluate the efficacy of the limited approach of functional endoscopic sinus surgery (FESS) in pediatric patients with chronic rhinosinusitis (CRS) and to interpret the indications for second-look endoscopy.Design: A retrospective review of medical records of patients who received pediatric FESS between January 1995 and September 2002 and a comprehensive parental questionnaire were used to assess postoperative symptom improvement at a mean postoperative follow-up of 27.2 months after surgery.Setting: A university-affiliated medical center.Patients: We studied 101 patients who received treatment of pediatric CRS refractory to optimal medical treatment. Main Outcome Measures:We analyzed preoperative and postoperative nasal obstruction, purulent rhinorrhea, postnasal drip, headache, hyposmia, and chronic cough.Interventions: Patients underwent a limited surgical approach of FESS, basically a drainage rather than an extirpation procedure, for the treatment of pediatric CRS refractory to optimal medical treatment. Additionally, 29 patients (28%) underwent second-look endoscopy.Results: The proportions of patients whose symptoms improved were as follows: nasal obstruction, 91%; purulent rhinorrhea, 90%; postnasal drip, 90%; headache, 97%; hyposmia, 89%; and chronic cough, 96%. Of the 101 patients, parents of 87 (86%) were satisfied with the surgery.Conclusions: Our literature review did not reveal any other large series in the Asian population. The limited approach to FESS was effective in treating medically recalcitrant CRS in the children we studied. Second-look endoscopy was indicated for selected cases to ensure the extirpation of residual disease and the patency of ostiomeatal complex and sinus ostia.

show abstract

“…One prospective study by Rosenfeld [19] examined a stepped protocol of treating rhinosinusitis. In this study, a sinusitis response score was used based upon a 12-item questionnaire to measure QOL.…”

Section: Sinonasal Diseasementioning

confidence: 99%

“…Patients were evaluated by treating them with antibiotics and then performing adenoidectomy and/or endoscopic sinus surgery for those who did not obtain relief with antibiotic therapy alone. Rosenfeld [19] concluded that caregiver expectations were met in 88% of children 1 year after treatment. Endoscopic sinus surgery improved major symptoms in 100% of children compared with 67% of those receiving antibiotics alone and 75% of those receiving antibiotics plus adenoidectomy.…”

Section: Sinonasal Diseasementioning

confidence: 99%

Outcomes Research in Pediatric Otolaryngology

Johnson¹,

Stewart²

2004

ORL

View full text Add to dashboard Cite

There are several validated outcomes instruments available for use in the pediatric otolaryngology population. These include instruments for otitis media, rhinosinusitis, tonsil and adenoid disease; sleep-disordered breathing, voice disorders and tracheotomy. In addition, several prospective outcomes studies have been performed on common pediatric otolaryngology conditions. These studies have typically indicated that the quality of life impact of diseases such as otitis media and recurrent tonsillitis is quite high, and that surgical treatments (such as tympanostomy tube placement and adenotonsillectomy) result in significant improvements in quality of life and disease-specific health status. In addition, cost-effectiveness studies of cochlear implantation have indicated that implantation is a very cost-effective intervention when performed in children.

show abstract

Pilot Study of Outcomes in Pediatric Rhinosinusitis

Cited by 125 publications

References 12 publications

Patient reported outcome measures in septorhinoplasty surgery

Patient reported outcome measures in septorhinoplasty surgery

Functional Endoscopic Sinus Surgery in Children Using a Limited Approach

Outcomes Research in Pediatric Otolaryngology

Contact Info

Product

Resources

About