Evaluating the Quality and Safety of In-Office Rhinologic Procedures: A YO-IFOS Pilot Study
David Lobo,
Christian Calvo,
Juan Maza-Solano,
Leigh Sowerby,
Luca Giovanni Locatello,
Alberto Maria Saibene,
Carlos Chiesa-Estomba,
Osama Metwaly,
Karol Zelenik,
Manuel Tucciarone,
Alkis Psaltis,
Raghu Nandhan,
Jerome R. Lechien,
Antonino Maniaci,
Jaime Viera-Artiles,
Isam Alobid
Affiliations
David Lobo
Otolaryngology Department, Hospital Universitario Marques de Valdecilla, 39008 Santander, Spain
Christian Calvo
Otolaryngology, Rhinology and Sleep Apnea Unit, Hospital Complex of Santiago de Compostela, 15700 Santiago de Compostela, Spain
Juan Maza-Solano
Rhinology Unit, Otorhinolaryngology-Head and Neck Surgery Department, University Hospital Virgen Macarena, 41009 Sevilla, Spain
Leigh Sowerby
Department of Otolaryngology—Head and Neck Surgery, Western University, London, ON N6A 3K7, Canada
Luca Giovanni Locatello
Department of Otorhinolaryngology, Azienda Sanitaria Universitaria Friuli Centrale, Udine University Hospital, 33100 Udine, Italy
Alberto Maria Saibene
AMS Otolaryngology Unit, Santi Paolo e Carlo Hospital, Department of Health Sciences, Università degli Studi di Milano, 20142 Milan, Italy
Carlos Chiesa-Estomba
Deusto University Faculty of Medicine, Donostia University Hospital, Bidonostia Research Institute, 20014 Donostia-San Sebastián, Spain
Osama Metwaly
Otorhinolaryngology-Head and Neck Surgery Department, Kasr Alainy School of Medicine, Cairo University, Cairo 4240310, Egypt
Karol Zelenik
Otorhinolaryngology-Head and Neck Surgery Department, Faculty of Medicine, University of Ostrava, 70103 Ostrava, Czech Republic
Manuel Tucciarone
Otorhinolaryngology Department, Jerez University Hospital, 11407 Jerez de la Frontera, Spain
Alkis Psaltis
Department of Otolaryngology Head and Neck Surgery, University of Adelaide, Adelaide 5005, Australia
Raghu Nandhan
Department of Otorhinolaryngology, Madras ENT Research Foundation, Raja Annamalai Puram, Chennai 600028, Tamil Nadu, India
Jerome R. Lechien
Young Otolaryngologists-International Federation of Otorhinolaryngological Societies, 91190 Paris, France
Antonino Maniaci
Department of Medicine and Surgery, University of Enna Kore, 94100 Enna, Italy
Jaime Viera-Artiles
Otolaryngology Department, Hospital Universitario Marques de Valdecilla, 39008 Santander, Spain
Isam Alobid
Rhinology and Skull Base Unit, Otorhinolaryngology-Head and Neck Surgery Department, Hospital Clinic, IDIBAPS, CIPERES, Barcelona University, 08007 Barcelona, Spain
The primary objective of this pilot study was to identify which aspects of in-office rhinologic procedures (IORPs) warrant further attention and investigation in the future. The secondary objectives were to survey which IORPs are most common and to identify needs for education and training. A cross-sectional study was carried out following the Consensus-Based Checklist for Reporting of Survey Studies (CROSS). The survey collected demographic, organizational, quality, and safety aspects of IORPs and was electronically distributed to YO-IFOS members across five continents. A total of 194 surgeons completed the survey, and 172 respondents (88%) performed IORPs. Ninety-nine responders (51.5%) worked in an academic setting. Common procedures included powered polypectomy (48, 28.4%) and turbinate reduction (93, 54.1%). The main concerns were about patients’ tolerance (116, 76.3%) and about the safety of the procedure (102, 67.1%). The most important barriers to the diffusion of IORPs are concerns about the tolerance and safety of these procedures. It would be convenient to establish protocols for this type of procedure to ensure the greatest patient comfort based on evidence.
