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Outcome Assessment of Endoscopic Sinus Surgery

Introduction In 1989 a presentation on surgery of the ethmoids was given to the then Section of Laryngology', at a time when few people in the UK had great expertise in the technique of endoscopic sinus surgery. Although reservations, both economic andphilosophical have been expressed about such minimally invasive surgery, during the intervening 4 years there has been a rapid rise in the number of British ENT (ear, nose and throat) surgeons adopting this approach. A recent survey of British ENT surgeons revealed that 37% (146 of 391 respondents) are now performing endoscopic sinus surgery, and this represents an exponential rise since 1985. Any new surgical technique, particularly one which gains rapid popularity, requires careful evaluation to assess its place in the existing surgical armamentarium. However, one of the difficulties in evaluating success in any operation is whether to rely on the subjective criteria of how patients feel or to apply objective measures, each with their own intrinsic inaccuracies. Although the rationale for surgery in the ostiomeatal complex is well-established2 4, there are still few large long-term studies of clinical efficacy in the literature.