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[Analysis of complications in functional endoscopic sinus surgery]
1Department of Otolaryngology, China-Japan Friendship Hospital, Beijing 100029.
Summary
Functional endoscopic sinus surgery (FESS) has a low complication rate of 3.0%, with bleeding and bruising being most common. Limited resection contributes to FESS safety in experienced surgical hands.
Area of Science:
- Otolaryngology
- Surgical Outcomes
- Rhinology
Context:
- Functional endoscopic sinus surgery (FESS) is a common procedure for sinonasal diseases.
- Understanding complication factors is crucial for patient safety and surgical technique refinement.
Purpose:
- To investigate the factors associated with complications following functional endoscopic sinus surgery (FESS).
- To analyze the complication rates based on surgical indications and extent of resection.
Summary:
- A retrospective analysis of 1,207 FESS procedures was conducted.
- The overall complication rate was 3.0%, with epistaxis and periorbital ecchymosis being the most frequent.
- Rare complications included temporary diplopia and fever of undetermined origin.
Impact:
- The study suggests that limited resection in FESS is associated with a lower complication rate.
- FESS is confirmed as a safe surgical option when performed by experienced surgeons.
- Findings can inform surgical planning and patient counseling regarding FESS risks.