Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Oct 19;7(3):240-246.
doi: 10.1016/j.wjorl.2020.10.002. eCollection 2021 Jul.

The evolution of sinus surgery in England in the last decade - An observational study

Keshav Kumar Gupta  1 , Karan Jolly  1 , Navdeep Bhamra  1 , Max Sallis Osborne  1 , Shahzada Khuram Ahmed  2
Affiliations

The evolution of sinus surgery in England in the last decade - An observational study

Keshav Kumar Gupta et al. World J Otorhinolaryngol Head Neck Surg. .

Abstract

Background and objective: Sinus surgery has seen significant changes over the years with advancements in instruments, endoscopes and imaging. This study aimed to use Hospital Episode Statistics (HES) data to review the total number of sinus related procedures performed in both adults and children across England and identify whether there were any trends across the study period. We predicted an increase in endoscopic sinus procedures with a decline in open approaches to the paranasal sinuses.

Methods: Data from HES was extracted for the years 2010-2019. The operative (OPCS-4) codes relevant to all sinus procedures between E12.1 and E17.9 were analysed. After examination of overall sinus related procedures, further subgroup analysis was performed with regards to open or endoscopic techniques.

Results: The total number of sinus procedures performed between 2010 and 2019 was 89,495. There was an increase in endoscopic surgeries by 21.1% and a decrease of open surgeries 35.3% during this time. There was an overall increase in maxillary, frontal and sphenoid sinus procedures, with a decrease in ethmoid sinus and lateral rhinotomy operations. There was an increase in the proportion of endoscopic cases overall by 5.7% and for all sinuses individually.

Conclusion: Overall, we see an increase in sinus surgery over the last 9 years from 2010 to 2019. These findings are in keeping with our initial hypotheses. Although our data set is limited by coding, and lack of patient factors, it represents most, if not all, of the data in England over a large study period. It is therefore useful to add to previous studies when demonstrating the increasing popularity of endoscopic sinus surgery over open procedures.

Keywords: Endoscopic sinus surgery; Ethmoid; Frontal; Maxillary; Sinus; Sphenoid.

PubMed Disclaimer

Conflict of interest statement

All authors have no financial or personal relationships with any relevant persons or organisations to disclose.

Figures

Fig. 1
Fig. 1
Open and endoscopic procedures and the change in percentage of endoscopic cases performed between 2010 and 2019.
Fig.2
Fig.2
The change in the number of open and endoscopic maxillary sinus procedures over the last 9 years and the evolution of the percentage of endoscopic procedures with respect to the total number of maxillary sinus procedures performed.
Fig. 3
Fig. 3
The change in the number of open and endoscopic ethmoid sinus procedures over the last 9 years and the evolution of the percentage of endoscopic procedures with respect to the total number of ethmoid sinus procedures performed.
Fig. 4
Fig. 4
The change in the number of open and endoscopic frontal sinus procedures over the last 9 years and the evolution of the percentage of endoscopic procedures with respect to the total number of frontal sinus procedures performed.
Fig. 5
Fig. 5
The change in number of sphenoid sinus procedures over the last 9 years.
See this image and copyright information in PMC

References

    1. Tajudeen B.A., Kennedy D.W. Thirty years of endoscopic sinus surgery: what have we learned. World J Otorhinolaryngol Head Neck Surg. 2017;3:115–121. - PMC - PubMed
    1. Jacobs J.B. 100 years of frontal sinus surgery. Laryngoscope. 1997;107:1–36. - PubMed
    1. Kennedy D.W. Techincal innovations and the evoloution of endoscopic sinus surgery. Ann Otol Rhinol Laryngol Suppl. 2006;196:3–12. - PubMed
    1. Huang B.Y., Senior B.A., Castillo M. Current trends in sinonasal imaging. Neuroimaging Clin N Am. 2015;25:507–525. - PubMed
    1. Justice J.M., Orlandi R.R. An update on attitudes and use of image-guided surgery. Int Forum Allergy Rhinol. 2012;2:155–159. - PubMed

LinkOut - more resources