Indications for endoscopic sinus surgery at "Sisters of Charity" Uneversity Hospital from 2012 to 2017

Cilj ovog retrospektivnog randomiziranog istrživanja bio je utvrditi učestalost pojedinih indikacija za endoskopsku sinusnu kirurgiju na Klinici za otorinolaringologiju i kirurgiju glave i vrata Kliničkog bolničkog centra "Sestre milosrdnice" u razdoblju od 1. siječnja 2012. do 31. prosinca 2016. Prikazane su i vrste operativnih zahvata te učestalost istih, učestalost pridruženih stanja, dviju vrsta anestezije i hitnih stanja. Također su pokazane povezanosti među svim opisanim parametrima. Istraživanje je provedeno na 350 pacijenata, od toga 165 žena i 185 muškaraca, čiji je raspon dobi bio od 6 do 81 godine, s medijanom dobi od 43,5 godina. Najčešća dijagnoza koju navodimo kao indikacije za operativni zahvat u promatranoj populaciji bila je kronični sinuitis bez nosne polipoze, slijedi je kronični sinuitis s nosnom polipozom te sinusne ciste s mnogo manjom učestalosti. Većina pacijenata liječena je kombinacijom etmoidektomije, antrostomije maksilarnog sinusa i polipektomije, pri čemu se etmoidektomija može izdvojiti kao najčešći zahvat endoskopske sinusne kirurgije. Pridružena stanja su bila brojna, ali je u najvećem broju slučajeva bila zastupljena deformacija nosnog septuma. Endotrahealna anestezija bila je zastupljenija od lokalne, a hitni zahvati su bili potrebni kod 5 pacijenata.The goal of this retrospective radomized study was to assess the incidence of indications for endoscopic sinus surgery at the Department of Otorhinolaryngology and Head and Neck Surgery at the Sisters of Charity University Hospital between January 1, 2012 and December 31, 2016. The study also included types of operations and their incidence, the incidence of conditions adjacent to these indications, as well as the types of anesthesia and emergencies. The associations between all the mentioned parameters were also explained. The study was done on 350 patients, of whom 165 were women and 185 men, from 6 to 81 years of age, with the median age being 43.5 years. The most frequent diagnosis that was listed as an indication for operation in the observed population was chronic sinusitis without nasal polyposis, followed by chronic sinusitis with nasal polyposis and sinus cysts, at a significantly lower rate. Most of the patients we observed were treated with a combination of ethmoidectomy, maxillary sinus antrostomy and polypectomy, with ethmoidecomy being the most frequent procedure of endoscopic sinus surgery. Adjacent diagnoses were abundant, but in most cases the associated diagnosis was nasal septum deformity. Endotracheal anesthesia was used more often than local, and emergency procedures were performed on 5 patients