Managing Complications and Revisions in Sinus Surgery

Khanna, Amit; Sama, Anshul

doi:10.1007/s40136-019-00231-3

Cited by 13 publications

(8 citation statements)

References 60 publications

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“…Postoperative hemorrhage can be a serious complication that can present in the recovery room after endoscopic sinus surgery, requiring urgent decompression. 3 The selection and combination of appropriate tools and supplies are crucial to effectively stop hemorrhagic obstacles. According to Zymberg et al, after the accurate identification of a dural bleed, the use of an endoscopic bipolar is necessary to stop high flow dural hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Dural Bleeding After Endoscopic Sinus Surgery

2021

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We present a case of an 80-year-old female patient who had an extensive dural bleed after endoscopic sinus surgery. A review of the literature regarding the surgical tools and materials used to treat dural hemorrhage was performed. We describe our preferred method of using the combination of endoscopic bipolar, DuraGen Plus, and DuraMatrix to stop significant dural bleeding and show effective hemostatic regulation.

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Section: Discussionmentioning

confidence: 99%

Dural Bleeding After Endoscopic Sinus Surgery

2021

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“…Although more than 250,000 ESS are performed each year in the United States, 7 the management of the sinus cavities at the conclusion of surgery is widely variable. Middle meatus packing is often employed in ESS to assist with hemostasis and prevent middle turbinate lateralization or synechia formation; however, the use of packing is not uniform 6 .…”

Section: Introductionmentioning

confidence: 99%

Triamcinolone‐impregnated bioabsorbable middle meatus packing following endoscopic sinus surgery: A prospective randomized controlled trial

McCormick

Suh

Yang

et al. 2022

Int Forum Allergy Rhinol

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Introduction: Topical steroids are a mainstay in the treatment of chronic rhinosinusitis (CRS). Multiple delivery methods of topical steroids following sinus surgery have been investigated. The purpose of this trial is to evaluate the effect of triamcinolone-impregnated absorbable nasal packing on healing following endoscopic sinus surgery (ESS). Methods: This is a prospective, randomized, double-blind, placebo-controlled trial. A total of 22 subjects (14 without polyps and eight with polyps) were enrolled and were randomized to receive triamcinolone-impregnated packing in one sinus cavity and normal saline-soaked packing in the contralateral sinus cavity. Endoscopic evaluation was completed at the first two postoperative visits, and Lund-Kennedy (LK) endoscopic scores and perioperative sinus endoscopy (POSE) scores were calculated at each visit. Results:The results of this study found no significant difference in the appearance of the sinuses at either postoperative visit. Mean LK scores for the triamcinolone and saline groups at the first and second postoperative visits were 2.09 ± 1.23 versus 2.18 ± 1.01 (p = 0.79) and 1.79 ± 1.08 versus 1.68 ± 1.16 (p = 0.77), respectively. POSE scores were 2.59 ± 1.71 versus 2.68 ± 1.62 (p = 0.86) and 1.74 ± 1.15 versus 1.95 ± 1.22 (p = 0.59). Conclusion:The results of this study demonstrated no significant difference in healing, crusting, polyps, edema, or secretions between the triamcinolonetreated and non-triamcinolone-treated sinuses. There were no adverse effects from the use of triamcinolone-impregnated absorbable packing. Further studies will be necessary to determine the impact of triamcinolone-impregnated absorbable packing following ESS.

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“…The conditions can primarily arise from the nose and paranasal sinuses but can also be as a result of extensions from surrounding structures especially the orbit, the dental apparatus or the cranium and its contents [3,4,5]. The disease conditions can be inflammatory, infective or neoplastic.…”

Section: Introductionmentioning

confidence: 99%

Clinicopathologic profile of sinonasal diseases in a tertiary hospital in Port Harcourt

Ibekwe¹,

Oghenekaro²

2021

World J. Adv. Res. Rev.

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Background: In a typical ear nose and throat clinic, disease conditions involving the nose and paranasal sinuses are not uncommon. The aim of this study is to determine the clinicopathologic profile of these diseases as it occurs in university of Port Harcourt teaching hospital. Methodology: A retrospective descriptive analysis of all patients with diagnosis of sinonasal disease that presented in the ear nose and throat surgery department of university of Port Harcourt teaching hospital within the period of 5years (from 2016 – 2020). Data retrieved were biodata, clinical features, diagnosis and treatment, these were all collated and analysed. Patients without complete records were excluded. The patients recruited had clinical diagnosis which was aided by radiological investigations and confirmed by histology. Result: A total of 68 patients were studied within the 5year period. There were 35males and 33 females. The mean age was 33.96+/_17.9 years. The age groups 11-20 and 41-50 were more affected. Rhinosinusitis was the commonest condition seen while inflammatory polyp was the commonest histologic diagnosis. Polypectomy with bilateral antrostomy was the commonly done surgery in 26.4% age. Conclusion: Disease of the nose and paranasal sinuses are commonly seen in ENT practice and rhinosinusitis is the commonest entity encountered with inflammatory polyp as the commonest histopathologic finding. Squamous cell carcinoma was the commonest malignant lesion seen occurring more in males. Age distribution of the diseases was statistically significant.

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Managing Complications and Revisions in Sinus Surgery

Cited by 13 publications

References 60 publications

Dural Bleeding After Endoscopic Sinus Surgery

Dural Bleeding After Endoscopic Sinus Surgery

Triamcinolone‐impregnated bioabsorbable middle meatus packing following endoscopic sinus surgery: A prospective randomized controlled trial

Clinicopathologic profile of sinonasal diseases in a tertiary hospital in Port Harcourt

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