Present Diagnostics and Therapy of Inflammations of Maxillary Sinuses in the Czech Republic – Evaluation of a Questionnaire Survey

Česká verzia

Authors: Richard Salzman ¹ ; J. Vodička ²; K. Podhola ³; I. Stárek ¹
Authors place of work: Otolaryngologická klinika, Lékařská fakulta Univerzity Palackého v Olomouci, FN Olomouc ¹; Klinika otorinolaryngologie a chirurgie hlavy a krku, Pardubická krajská nemocnice, a. s., Fakulta zdravotnických studií, Univerzita Pardubice ²; Klaudiánova Nemocnice - Mladá Boleslav, a. s., Mladá Boleslav ³
Published in the journal: Otorinolaryngol Foniatr, 64, 2015, No. 2, pp. 111-118.
Category: Review Article

Summary

Based on recent advances in diagnostics and treatment of maxillary sinusitis, authors present results of a survey monitoring the common ways the Czech otorhinolaryngologists deal with maxillary sinusitis.

The survey questionnaire used contained 15 questions looking at ENT surgeons characteristics (age, gender, size and type of workplace, length of ENT praxis); diagnostics and therapy of acute maxillary sinusitis; indications, technique, and numbers of antral washout. The last question asked about examination of olfactory functions among ENT surgeons. Most questions were closed ended types, i.e. respondents were provided number of options (and could volunteer and put down an option not on the list.

The response rate was 19.7 %, i.e. 100 responses out of 508 letters sent out.

The results clearly show significant effect of length of praxis in the specialty and of the type of workplace on the methods used. The ambulatory ENT specialists prefer non-invasive diagnostic methods, e.g. paranasal sinus ultrasound or diaphanoscopy. Similarly, colleagues with praxis longer than 30 years less likely have a rhino endoscope available in their office. Contrarily, they more often refer patients with suspected maxillary sinusitis to paranasal sinus x-ray, and perform antral washout in both acute and chronic sinusitis. It seems that conclusions of recently published evidence based studies alter daily clinical routines of ENT specialists in the Czech Republic in diagnostics and treatment of maxillary sinusitis only very slowly.

Keywords:
maxillary sinuses, questionnaire survey, puncture, sinusitis

Zdroje

1. Aaløkken, T. M., Hagtvedt, T., Dalen, I., Kolbenstvedt, A.: Conventional sinus radiography compared with CT in the diagnosis of acute sinusitis. J. Head Neck Imaging, 32, 2014, 1.

2. Benninger, M. S., Payne, S. C., Ferguson, B. J., Hadley, J. A., Ahmad, N.: Endoscopically directed middle meatal cultures versus maxillary sinus taps in acute bacterial maxillary rhinosinusitis: a meta-analysis. Otolaryngol. Head Neck Surg., 134, 2006, 1, s. 3-9.

3. Berger, G., Berger, R. L.: The contribution of flexible endoscopy for diagnosis of acute bacterial rhinosinusitis. European archives of oto-rhino-laryngology, 268, 2011, 2, s. 235-240.

4. Blomgren, K., Hytönen, M., Pellinen, J., Relander, M., Pitkäranta, A.: Diagnostic accuracy of acute maxillary sinusitis in adults in primary care. Scandinavian Journal of Primary Health Care, 20, 2002, 1, s. 40-44.

5. Brooks, I., Gooch, W. M., Jenkins, S. G., Pichichero, M. E., Reiner, S. A., Sher, L., Yamauchi. T.: Medical management of acute bacterial sinusitis. Recommendations of a clinical advisory committee on pediatric and adult sinusitis. The Annals of Otology, Rhinology & Laryngology. Supplement, 182, 2000, s. 2-20.

6. Burke, T. F., Guertler, A. T., Timmons, J. H.: Comparison of sinus X-rays with computed tomography scans in acute sinusitis. Academic Emergency Medicine, 1994, 1, 3, s. 235-239.

7. Fokkens, W., Lund, V., Mullol, J., Alobid, I., Baroody, F., Cohen, N., Cervin, A., Douglas, R.: European position paper on rhinosinusitis and nasal polyps..Suppl., 23, 2012, 50, s. 1-12.

8. Foret, M.: Marketingový výzkum: jak poznávat své zákazníky. Grada, Praha, 2003, 159 s.

9. Gold, S. M., Tami, T. A.: Role of middle meatus aspiration culture in the diagnosis of chronic sinusitis. Laryngoscope, 107, 1997, 12, s. 1586-1589.

10. Hansen, J. G., Schmidt, H., Rosborg, J., Lund, E.: Predicting acute maxillary sinusitis in a general practice population. BMI, 1995, 311, 6999, s. 233-236.

11. Jousimies-Somer, Savolainen, H. R., S. E. P. P. O., Ylikoski. J. S.: Macroscopic purulence, leukocyte counts, and bacterial morphotypes in relation to culture findings for sinus secretions in acute maxillary sinusitis. Journal of Clinical Mikrobiology, 26, 1988, 10, s. 1926-1933.

12. Laine, K., Maatta, T., Varonen, H., Makela, M.: Diagnosing acute maxillary sinusitis in primary care: a comparison of ultrasound, clinical examination and radiography. Rhinology, 36, 1998, 1, s. 2-6.

13. Lee, J. Y., Lee, S. H., Hong, H. S., Lee, J. D., Cho, S. H.: Is the canine fossa puncture approach really necessary for the severely diseased maxillary sinus during endoscopic sinus surgery? Laryngoscope, 118, 2008, 6, s. 1082-1087.

14. Masood, A., Moumoulidis, I., Panesar, J.: Acute rhinosinusitis in adults: an update on current management. Postgraduate Medical Journal, 83, 2007, 980, s. 402-408.

15. McClelland, L., Jones, N.: Paediatric rhinosinusitis: Management and indications for saurgery. Journal of ENT Masterclass, 4, 2011, 1, s. 52.

16. Pang, Y. T., Willatt, D. J.: Do antral washouts have a place in the current management of chronic sinusitis?. Journal of Laryngology & Otology, 110, 1996, 10, s. 926-928.

17. Ramadan, H. H., Owens, R. M., Tiu, C., Wax, M. K.: Role of antral puncture in the treatment of sinusitis in the intensive care unit. Otolaryngology--Head and Neck Surgery, 119, 1998, 4, s. 381-384.

18. Ray, N. F., Baraniuk, J. N., Thamer, M., Rinehart, C. S., Gergen, P. J., Kaliner, M., Josephs, S., Pung, Y. H.: Healthcare expenditures for sinusitis in 1996: contributions of asthma, rhinitis, and other airway disorders. Journal of Allergy and Clinical Immunology, 103, 1999, s. 408-414.

19. Talbot, G. H., Kennedy, D. W., Scheld, W. M., Granito, K.: Rigid nasal endoscopy versus sinus puncture and aspiration for microbiologic documentation of acute bacterial maxillary sinusitis. Clinical infectious diseases, 33, 2001, 10, s. 1668-1675.

20. Ylikoski, J., Savolainen, S., Jousimies-Somer, H.: Bacterial flora in the nasopharynx and nasal cavity of healthy young men. ORL, 51, 1989, 1, s. 50-55.