Practice patterns in endoscopic dacryocystorhinostomy: survey of the American Rhinologic Society

Chen, Sonia; Le, Christopher H.; Liang, Jonathan

doi:10.1002/alr.21759

Cited by 20 publications

(17 citation statements)

References 34 publications

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“…There are several limitations to the current study. Although the findings reflect the opinions of only 17.8% of NASBS members, this response rate is comparable to similar published surveys . Trends identified by survey methodology must be interpreted with some caution given that they do not necessarily represent the opinions of the entire Society.…”

Section: Discussionsupporting

confidence: 72%

Perioperative management in endoscopic endonasal skull‐base surgery: a survey of the North American Skull Base Society

Roxbury

Lobo

Kshettry

et al. 2017

Int Forum Allergy Rhinol

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Background:The objective of this work was to be er understand variations in perioperative management in endoscopic endonasal skull-base surgery (EESBS) and to identify trends in management based upon the practice pa erns of North American Skull Base Society (NASBS) members. Methods:A 29-question survey evaluating perioperative EESBS management was sent to all NASBS members. Responses were analyzed with descriptive statistics. Subgroup analysis was performed based on participant demographics. A Bonferroni correction was performed and a p value <0.01 was considered statistically significant for subgroup analysis.Results: Of 651 invitees, 116 responded (17.8%). Participants were primarily from the United States (81.0%), and practiced in academic centers (83.6%). The majority were neurosurgeons (55.2%) or rhinologists (27.6%). Most surgeons (83.6%) advocated use of preoperative intravenous antibiotics (96.6%) and image guidance in all cases (83.6%). Lumbar drains were not recommended for cases in which an intraoperative cerebrospinal fluid (CSF) leak was not anticipated (94.8%). Nasoseptal flaps (NSFs) were not recommended in cases without intraoperative CSF leak (84.5%), but were recommended in cases of high-flow intraoperative CSF leak (97.4%). While postoperative restrictions were highly variable, most providers recommended CSF leak precautions (89.7%), flying restrictions (94.0%), and driving restrictions (95.6%) regardless of intraoperative CSF leak status. Most experts also recommended that continuous positive airway pressure (CPAP) be avoided for at least 2 weeks when an intraoperative CSF leak is encountered (81.9%). Conclusion:Despite variation in perioperative management of EESBS patients, important trends were identified by this study. Further investigation is needed to standardize perioperative practice pa erns in EESBS. C 2017 ARS-AAOA, LLC.

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Section: Discussionsupporting

confidence: 72%

Perioperative management in endoscopic endonasal skull‐base surgery: a survey of the North American Skull Base Society

Roxbury

Lobo

Kshettry

et al. 2017

Int Forum Allergy Rhinol

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“…The overall response rate of 23% is comparable, if not superior, to several other peer‐reviewed head and neck themed surveys (range, 7.9% to 19%) . Furthermore, our response rate does not significantly differ from the recently published survey on the identification of the external branch of the superior laryngeal nerve in thyroid surgery, a survey that was exclusively sent to thyroid surgeons, as opposed to more general medical associations.…”

Section: Discussionsupporting

confidence: 70%

“…The overall response rate of 23% is comparable, if not superior, to several other peer-reviewed head and neck themed surveys (range, 7.9% to 19%). [27][28][29][30] Furthermore, our response rate does not significantly differ from the recently published survey on the identification of the external branch of the superior laryngeal nerve in thyroid surgery, 16 a survey that was exclusively sent to thyroid surgeons, as opposed to more general medical associations. Nevertheless, lower response rates were expected from the CSOHNS, ORLQC, and AAOHNS because of the fact that a large proportion of their members do not practice thyroid surgery and, thus, confer an immediate voluntary response bias.…”

Section: Limitationsmentioning

confidence: 99%

Perioperative practices in thyroid surgery: An international survey

et al. 2017

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“…For answer choices “always” was defined as 100% of the time, “often” was defined as > 70% of the time, “sometimes” was defined as 30%–70% of the time, “infrequent” was defined as <30% of the time, and “never” was defined as 0%. 6 Percentages of each response were calculated on the basis of the number of respondents for each question.…”

Section: Methodsmentioning

confidence: 99%

Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists

Huang

et al. 2018

World j. otorhinolaryngol.-head neck surg.

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ObjectiveThe aim of this study was to evaluate clinical practice patterns of preoperative and postoperative medical therapies immediately surrounding sinus surgery for chronic rhinosinusitis (CRS) by Chinese otolaryngologists.MethodsTwo anonymous web-based surveys of preoperative and postoperative medical therapies were performed. These surveys assessed the frequency of prescription of oral corticosteroids, intranasal corticosteroid sprays, oral antibiotics, nasal saline irrigation, oral antihistamines, nasal antihistamines, anti-leukotriene agents, topical decongestants and oral mucolytics.ResultsA total of 304 (17.5%) preoperative and 143 (23.5%) postoperative questionnaires were completed and returned. Seventy-eight percent, 63% and 56% of respondents used preoperative intranasal corticosteroid sprays, oral antibiotics and oral mucolytics “always or often”, respectively. Ninety-four percent, 93%, 72% and 69% of respondents used postoperative intranasal corticosteroid sprays, nasal saline irrigation, oral antibiotics and oral mucolytics “always or often”, respectively. Oral antihistamines, nasal antihistamines, anti-leukotrienes and topical decongestants were not commonly used preoperatively or postoperatively.ConclusionsOur study demonstrated that current practice patterns of preoperative medical therapies among otolaryngologists are not uniformly based on evidence-based outcomes research. Postoperative oral antibiotics, intranasal corticosteroid sprays, nasal saline irrigation and oral mucolytics are commonly used by a majority of Chinese otolaryngologist for CRS. Practice patterns of postoperative medical therapy reflect recent guidelines.

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Practice patterns in endoscopic dacryocystorhinostomy: survey of the American Rhinologic Society

Abstract: There is widespread integration of EnDCR procedures into rhinologic clinical practice among respondents. EnDCR practice patterns demonstrate moderate variation. In conjunction with evidence-based medicine, these trends can highlight areas of controversy and help advance patient care.

Cited by 20 publications

References 34 publications

Perioperative management in endoscopic endonasal skull‐base surgery: a survey of the North American Skull Base Society

Perioperative management in endoscopic endonasal skull‐base surgery: a survey of the North American Skull Base Society

Perioperative practices in thyroid surgery: An international survey

Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists

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