Results from a Cross-Sectional Survey of Endoscopic Frontal and Maxillary Sinus Surgery

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  • Yokoi Kei
    Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine Department of Otorhinolaryngology, Osaka Police Hospital
  • Maeda Yohei
    Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine
  • Hayama Masaki
    Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine
  • Hirai Takashi
    Department of Otorhinolaryngology-Head and Neck Surgery, Sumitomo Hospital
  • Takeda Kazuya
    Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine
  • Tsuda Takeshi
    Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine
  • Akazawa Hitoshi
    Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine
  • Inohara Hidenori
    Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine

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  • 前頭洞・上顎洞内視鏡手術に関する横断的アンケート調査結果

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<p>Since Wormald et al. proposed the ‘building block concept,’ many studies have suggested that frontal sinus surgery should be performed following Wormald’s procedure. However, in Japan, little is known about the ability of otolaryngologists to perform frontal sinus surgery. In addition, new procedures in transnasal endoscopic surgery have been suggested in recent years, including a Draf type III endoscopic modified Lothrop procedure (EMLP) and endoscopic medial maxillectomy/endoscopic modified medial maxillectomy (EMM/EMMM). However, the prevalence of use of these new procedures is not clear. Therefore, we sent questionnaires on endoscopic maxillary and frontal sinus surgeries to otorhinolaryngologists who were associated with Osaka University. The results showed that in endoscopic sinus surgery (ESS), an operation on the frontal sinus was still considered to be the most difficult. Only 8% of doctors were able to perform endoscopic modified Lothrop procedure, and the most common reason why a hospital did not use endoscopic modified Lothrop procedure was that ‘no doctors can perform endoscopic modified Lothrop procedure.’ endoscopic medial maxillectomy/endoscopic modified medial maxillectomy was more commonly performed compared to endoscopic modified Lothrop procedure. For both endoscopic modified Lothrop procedure and endoscopic medial maxillectomy/endoscopic modified medial maxillectomy, doctors who could not perform these procedures stated that ‘I want to learn these procedures, but no there are no doctors who can teach them.’ This suggests that management of training for endoscopic modified Lothrop procedure and endoscopic medial maxillectomy/endoscopic modified medial maxillectomy is important.</p>

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