Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P136

Rhinology/Allergy

P136
Otolaryngology-Head and Neck Surgery 163(1S)
Presentation schedule is subject to change. The Official Program Abstracts supplement does not reflect changes made after August 10, 2020.
Methods: An anonymous survey regarding antibiotic preConclusions: The novel FaCES-12 is a valid and reliable
scribing patterns for patients with epistaxis controlled with
instrument for use in the evaluation of facial symptoms. Further
nasal packing was sent to physician members of the American
research into the application of this scale is warranted.
Rhinologic Society.
Results: Of 1113 surveys distributed, 307 responses were
Does Perichondrium Have an Effect on
recorded (27.6%). Antibiotic prescription rates vary widely based
Vascularization in Septorhinoplasty Operations?
on packing type. Although 80.8% (95% CI, 75.9-85.0) of otolarMustafa Mert Basaran, MD (Presenter); Selmin Karatayli
yngologists prescribe antibiotics to patients with absorbent, nonOzgursoy; Hande Arslan, PhD; Sinan Kocaturk
absorbable packing, such as sponge or balloon packs, only 18.8%
Objectives: There have been many techniques described for
(95% CI, 14.6-23.7) do so for absorbable packing. In addition,
the
best esthetic and functional outcome of septorhinoplasty.
69% (95% CI, 63.2-74.1) stop antibiotics immediately following
Skin
necrosis, numbness or fullness at the nasal tip, postoperapacking removal, and 85% (95% CI, 80.4-88.9) cite the risk of
tive
ecchymosis,
and edema are common complications because
toxic shock syndrome when prescribing antibiotics. Notable
of
vascular
damage.
Intraoperative bleeding is also dependent
demographic-related differences include greater utilization of
on
vascular
injuries,
which
can directly affect the success of the
amoxicillin-clavulanate in the Midwest (68%) and Northeast
surgery.
In
our
study,
we
tried
to show the most minimal inva(61%) compared with the South (42%) and West (45%); P =
sive
technique
with
the
smallest
effect on vascular structures by
.013. Further, increasing years in practice (P = .001) and private
comparing
subperichondrial
and
supraperichondrial dissection
practice setting (P = .006) are each correlated with citing "sinustechniques
in
closed
septorhinoplasty.
itis prevention" as a rationale for prescribing antibiotics.
Methods: Forty-eight supraperichondrial and 47 subperiConclusions: Antibiotic use in patients with epistaxis conchondrial
dissections, among 95 patients and 95 healthy voltrolled with nonabsorbable packing is common. Treatment
unteers,
were
included in our study. The study was performed
patterns are influenced by physician location, number of years
at
Ufuk
University,
Ankara, Turkey, between 2016 and 2018.
in practice, and practice type.
Nasal vascularization was measured on the left and right nasal
tip and dorsum with laser Doppler flowmetry preoperatively
Development and Validation of the 12-Item
and postoperatively on the 10th day, third month, and first
Facial Complaints Evaluation Scale
year. Patients between age 18 and 65 years with difficulty of
Travis Shutt, MD (Presenter); Arthur W. Wu, MD; Jonathan Y.
breathing without any other nasal disorders were included in
Ting, MD, MS, MBA; Elisa A. Illing, MD; Kevin L. Potts, MD;
our study. Women in the menstrual period, patients with
Elizabeth Cash, PhD; Thomas S. Higgins, MD, MSPH
chronic diseases, and patients with drug use were excluded.
Objectives: The perceived sensations of facial swelling, pain,
Results: There were 29 women and 19 men in the supraperipressure, and headache are common in patients presenting for
chondrial group and 26 women and 21 men in the subperichonevaluation of sinonasal issues. The authors present the novel
drial group. In the subperichondrial dissection group, there was
12-item Facial Complaints Evaluation Scale (FaCES-12) to aid
an increase between the preoperative period and the 10th postin diagnosis and outcome assessment by obtaining objective
operative day, but there was no difference in the 3-month postmeasures of the subjective patient symptoms experienced in
operative results on the right tip. No other significant differences
rhinologic and nonrhinologic conditions affecting the face.
were found.
Methods: A patient questionnaire was created to evaluate
Conclusions: Finding subperichondrial dissection is hard
facial symptoms based on clinical experience and the literaand needs practice. Supraperichondrial dissection is as physiture, including data points for the presence, prevalence, and
ologic as subperichondrial, damaging less vascular structures,
severity of facial pain, pressure, swelling, sunken, and headand creating fewer vascular complications.
ache sensations. Each variable was assessed using an
11-point Likert scale ranging from 0 to 10 in severity. Data
The Effect of Online Education Videos on
were collected prospectively from 210 patients in multiple
Patient Experience in Endoscopic Sinus
urban otolaryngologic practices from August to December
Surgery for Chronic Rhinosinusitis
2019 along with the Patient-Reported Outcomes Measurement
Kevin Zhao (Presenter); Michael Guo; Madison Hinkley;
Information System Pain Scale 3a (PROMIS 3a) and SinoKimberly Luu, MD; Amin R. Javer, MD; Andrew Thamboo, MD
Nasal Outcome Test-22 (SNOT-22). Internal consistency and
Objectives: Patient education has been shown to have an
reliability were assessed by calculating Cronbach a and
impact on anxiety and postoperative pain in surgical patients,
assessing test-retest scores. Construct validity was determined
although surgeons often underestimate patient desire for preby analyzing the content validity and discriminant validity.
operative information. The purpose of this study was to deterResults: A new 12-item scale named FaCES-12 was develmine if educational videos (EVs) emailed prior to surgery
oped. FaCES-12 demonstrated high reliability with a Cronbach
would improve patient experience with endoscopic sinus sura of .95 and high test-retest reliability. The scale revealed
gery (ESS) for chronic rhinosinusitis (CRS).
strong correlation with the PROMIS 3a (r = 0.57) and moderMethods: This was a randomized controlled trial at a single
ate correlation with the SNOT-22 (r = 0.36). Exploratory facacademic center from May 2018 to December 2019. Patients
tor analysis revealed the instrument to be unidimensional.

Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts

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