Assessing Surgical Extent in Endoscopic Sinus Surgery: A Scoping Review of Scoring Systems

The authors aimed to identify and characterize the various instruments available for assessing the extent of surgical dissection in endoscopic sinus surgery (ESS), as this variability may impact postoperative outcomes and treatment responses. They found 11 scoring systems, highlighting a distinction between surgical extent and completeness, with CT-based instruments primarily assessing completeness and intraoperative classifications focusing on extent. The review underscores the need for standardized assessment of surgical extent to improve clinical decision-making, while emphasizing the necessity for prospective validation of these instruments.