Major complications and consent prior to endoscopic sinus surgery

Sharp, Henry; Crutchfield, L.; Rowe-Jones, Julian; Mitchell, David B.

doi:10.1046/j.1365-2273.2001.00394.x

Cited by 45 publications

(41 citation statements)

References 28 publications

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“…ESS is a safe procedure with very low incidence of major complications [27,28]. Hopkins et al in their prospective analysis of 3,128 patients undergoing sinonasal surgery have observed a 7% risk of minor complications like synechiae and mild bleeding [29].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Sinus Surgery in Chronic Rhinosinusitis and Nasal Polyposis: A Comparative Study

Nair

Dutta

Rajagopalan

et al. 2011

Indian J Otolaryngol Head Neck Surg

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Nasal polyposis are common presentations in patients of chronic rhinosinusitis and are considered to be associated with more severe forms of disease with poor treatment outcome. The presentation and treatment outcome after endoscopic sinus surgery in patients of chronic rhinosinusitis and nasal polyposis have been analysed in this study. A prospective analysis of 90 patients of chronic rhinosinusitis who were classified into two groups depending on presence and absence of nasal polyps was performed in the study. The two groups were evaluated using subjective (patient complaints) and objective (computed tomography scan and endoscopy scores) criteria. Preoperative data were compared with data obtained 12 months post endoscopic sinus surgery. The study included 38 patients of chronic rhinosinusitis and 52 patients of nasal polyps. The patients of nasal polyp group presented with increased severity of symptoms of nasal blockage, nasal discharge and reduced sense of smell as compared to the chronic rhinosinusitis group who had significantly higher presentation of headache and facial pain. The preoperative CT scan revealed significantly higher bilateral disease with increased involvement of multiple sinuses in nasal polyp group. Post endoscopic sinus surgery both the groups showed significant improvement in their symptoms with the nasal polyp group demonstrating reduction in improvement on 1 year follow up. In our study we have found the patients with chronic rhinosinusitis and nasal polyp have varied severity of symptoms with the nasal polyp group having higher nasal symptoms and increased severity as compared to chronic rhinosinusitis group. Though the universal rationale of management by adequate drainage and ventilation of sinus is similar in both groups, there is a reduction in both objective and subjective scores during 1 year follow up in the nasal polyp group.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Sinus Surgery in Chronic Rhinosinusitis and Nasal Polyposis: A Comparative Study

Nair

Dutta

Rajagopalan

et al. 2011

Indian J Otolaryngol Head Neck Surg

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“…12,[18][19][20][21][22][23][24][25] Knowledge of the complex anatomy of the skull base and its anatomical landmarks, including the ethmoidal fovea, the lateral lamella of the cribiform plate, and the course of the anterior ethmoidal artery is essential to prevent the complications of nasal endoscopic surgery. 12,15,20,21,26 Computed tomography 22 (CT) has helped not only to evaluate nasosinusal disease, but also to characterize the anatomy of the paranasal sinuses. 22,[27][28][29][30] The coronal plane, in particular, is considered as a map for assessing the anatomy that varies significantly even between both sides in the same individual; this may alert about areas of potential complication risk in nasal endoscopic surgery.…”

Section: Introductionmentioning

confidence: 99%

“…12,15,20,21,26 Computed tomography 22 (CT) has helped not only to evaluate nasosinusal disease, but also to characterize the anatomy of the paranasal sinuses. 22,[27][28][29][30] The coronal plane, in particular, is considered as a map for assessing the anatomy that varies significantly even between both sides in the same individual; this may alert about areas of potential complication risk in nasal endoscopic surgery. 18,28,[30][31][32][33][34][35][36][37] …”

Section: Introductionmentioning

confidence: 99%

Avaliação da artéria etmoidal anterior pela tomografia computadorizada no plano coronal

Souza

Gregório

et al. 2009

Rev. Bras. Otorrinolaringol.

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The anterior ethmoidal artery (AEA) is an important point for frontal and ethmoid sinuses surgery. CT scans can identify landmarks to help the surgeon find the AEA. Aim: To identify the landmarks of the AEA on the orbital medial wall and on the lateral wall of the olfactory fossa. and to correlate the presence of supraorbital ethmoidal cells with spotting the anterior ethmoidal artery canal. Materials and Methods: Retrospective review of 198 direct coronal paranasal sinuses computed tomography (CT) scans from August to December, 2006. Results: Supraorbital pneumatization was seen in 35% (70 scans). The AEA canal was seen in 41% (81 scans). The anterior ethmoidal sulcus was seen in 98% (194 scans) and the anterior ethmoidal foramen was seen in all the scans (100%). Conclusion: The anterior ethmoidal foramen and the anterior ethmoidal sulcus were anatomical landmarks present in almost 100% of the scans studied. There was a correlation between the presence of supraorbital pneumatization and AEA canal visualization.

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“…Knöcherne Dehiszenzen werden in 4-8 % (bei starker Prominenz: in 12 %) beobachtet [ 12 , 413 , 436 ] . Nur eine Minderheit der Nebenhöhlenchirurgen (6 %) stellt Patienten routinemäßig vor einem Nasennebenhöhleneingriff dem Augenarzt vor [ 438 ] . Umso wichtiger ist es, präoperativ auf vorbestehende Augenschäden zu achten.…”

Section: Visus-minderung Gesichtsfeldeinschränkungunclassified

Fehler und Gefahren: Eingriffe an den Nasennebenhöhlen und der Frontobasis unter Berücksichtigung mediko-legaler Aspekte

Hosemann

2013

Laryngo-Rhino-Otol

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Endoscopic endonasal sinus surgery represents the overall accepted type of surgical treatment for chronic rhinosinusitis. Notwithstanding raised and still evolving quality standards, surgeons performing routine endoscopic interventions are faced with minor complications in 5% and major complications in 0.5-1%.A comprehensive review on all minor and major complications of endoscopic surgery of the paranasal sinuses and also on the anterior skull base is presented listing the actual scientific literature. The pathogenesis, signs and symptoms of each complication are reviewed and therapeutic regimens are discussed in detail relating to actual publication references. Potential medico-legal aspects are explicated and recent algorithms of avoidance are mentioned taking into account options in surgical training and education.

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Major complications and consent prior to endoscopic sinus surgery

Cited by 45 publications

References 28 publications

Endoscopic Sinus Surgery in Chronic Rhinosinusitis and Nasal Polyposis: A Comparative Study

Endoscopic Sinus Surgery in Chronic Rhinosinusitis and Nasal Polyposis: A Comparative Study

Avaliação da artéria etmoidal anterior pela tomografia computadorizada no plano coronal

Fehler und Gefahren: Eingriffe an den Nasennebenhöhlen und der Frontobasis unter Berücksichtigung mediko-legaler Aspekte

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