부비동 내시경 수술 후 외래 추적 관찰의 정도와 술 후 성적과의 관계

Abstract

Endoscopic sinus surgery has become primary and effective surgical treatment method for chronic paranasal sinusitis. Although several papers have been reported about the results of endoscopic sinus surgery, there are a few reports about relation between postoperative care and outcome after endoscopic sinus surgery. The aim of this study is to investigate the relation between follow up and outcome after endoscopic sinus surgery and its relevance of prognosis after surgery. A retrospective review of medical records was carried out on 563 chronic sinusitis patients who had undergone endoscopic sinus surgery from 2000 though 2004 at our institution. We analyzed the surgical results comparing 4 parameters of follow up as: Schedule, Nearly schedule, Irregular, and Lost: postoperative outcome is evaluated by endoscopic examination as: Good, Fair, Poor, and Fail. There were improved endoscopic findings in 81.9% of patients and showed relatively regular postoperative follow up in 68.4% of patients. Older age patients had relatively satisfactory postoperative follow up and outcome. There were no statistical difference between postoperative follow up and sex. This study revealed better postoperative follow up in patient who had older age, higher L-M score. Regular postoperative follow up patients were significantly more likely to have better postoperative outcome. Adequate postoperative care and careful follow up after surgery will be a good prognostic and predictive factor of high level of surgical success.