Evidence map›Paper›PMID 39627580›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

The sinus surgery completeness score: a radiological assessment of the extent of endoscopic sinus surgery.

Keshav Kumar Gupta, Saleh Okhovat, Rishi Sharma, Alison Lim, Thomas Beech, Lisha McClelland, Arif Janjua, Karan Jolly

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Keshav Kumar GuptaDepartment of ENT and Skull Base Surgery, University Hospitals Birmingham NHS Trust. Queen Elizabeth Hospital, Birmingham, UK.ORCID http://orcid.org/0000-0001-8155-0001
Saleh OkhovatDepartment of ENT and Skull Base Surgery, Queen Elizabeth University Hospital, Glasgow, UK.
Rishi SharmaDepartment of ENT and Skull Base Surgery, Addenbrookes Hospital,, Cambridge, UK.
Alison LimDepartment of ENT and Skull Base Surgery, Queen Elizabeth University Hospital, Glasgow, UK.
Thomas BeechDepartment of ENT and Skull Base Surgery, University Hospitals Birmingham NHS Trust. Queen Elizabeth Hospital, Birmingham, UK.
Lisha McClellandDepartment of ENT and Skull Base Surgery, University Hospitals Birmingham NHS Trust. Queen Elizabeth Hospital, Birmingham, UK.
Arif JanjuaDepartment of ENT and Skull Base Surgery, Vancouver General Hospital, Vancouver, Canada.
Karan JollyDepartment of ENT and Skull Base Surgery, University Hospitals Birmingham NHS Trust. Queen Elizabeth Hospital, Birmingham, UK. kjolly@nhs.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic rhinosinusitis (CRS) often requires endoscopic sinus surgery (ESS) for symptom control. However, there is currently a high reported revision rate. The introduction of biologics offers an alternative treatment, but patient criteria are ambiguous, particularly regarding the definition of "previous ESS." This study aims to introduce the Sinus Surgery Completeness Score (SSCS) to help evaluate the extent of ESS as well as evaluate the extent of sinus surgery in the study cohort.

methodsThe SSCS was developed by expert rhinologists and anterior skull base surgeons and applied to computed tomography (CT) sinus scans of 41 CRS patients who underwent previous ESS. Inter-rater reliability was assessed, and statistical analysis was performed to correlate SSCS scores with Lund-Mackay (LM) and Sinonasal Outcome Test-22 (SNOT-22) scores.

resultsThe SSCS demonstrated strong inter-rater reliability (Fleiss Kappa score 0.857). The mean time to complete the SCSS was 2.7 min. Most patients had incomplete surgery with a mean SCSS of 7.40 (total 24) with no patients achieving a maximum score. The maxillary sinus was the most dissected subunit, with frontal and sphenoid sinuses being the least. Weak negative correlations were observed between the SSCS and LM and SNOT-22 scores.

conclusionsThe SSCS is a useful tool for assessing the completeness of sinus surgery, offering a standardized approach to evaluating surgical outcomes. While further research is needed to elucidate the relationship between surgical completeness and patient outcomes, the SSCS holds promise in guiding patient management including informing decisions regarding eligibility for biologic therapy.

Indexed as

EndoscopyParanasal SinusesRhinitisSinusitisAdultAgedChronic DiseaseFemaleHumansMaleMiddle AgedReoperationReproducibility of ResultsTomography, X-Ray ComputedTreatment OutcomeChronic rhinosinusitisComputed tomographyEndoscopic sinus surgeryRadiology

Identifiers

PMID39627580

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