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Complications of endoscopic sinus surgery.
M Vleming1, R J Middelweerd, N de Vries
1Department of Otolaryngology/Head and Neck Surgery, Free University Hospital, Amsterdam, The Netherlands.
Archives of Otolaryngology--Head & Neck Surgery
|June 1, 1992
Summary
Endoscopic sinus surgery is generally safe, with few minor complications reported in over 1200 procedures. Serious issues like vision loss or meningitis were avoided, though middle turbinate absence increases risk.
Area of Science:
- Otolaryngology
- Surgical Innovation
Background:
- Endoscopic sinus surgery (ESS) has gained significant popularity.
- Understanding its complication profile is crucial for patient safety.
Purpose of the Study:
- To report and analyze the complications associated with endoscopic sinus surgery.
- To identify risk factors for complications in ESS.
Main Methods:
- Retrospective review of 1235 ESS procedures across 593 patients.
- Detailed recording and categorization of all intraoperative and postoperative complications.
Main Results:
- Complications occurred in 45 patients (7.6%), affecting 52 sides (4.2%).
- Most complications were minor; serious events (orbital hematoma, CSF leak) occurred in 0.3% of sides.
- No cases of vision loss or meningitis were reported.
- Absence of the middle turbinate was identified as a risk factor.
Conclusions:
- Endoscopic sinus surgery is a safe procedure when performed by experienced surgeons.
- Minimizing complications involves careful surgical technique and awareness of risk factors like middle turbinate status.