Complications of endoscopic sinus surgery

Area of Science:

• Otolaryngology
• Surgical Innovation
• Patient Safety

Background:

• Intranasal sinus surgery complication rates vary significantly, ranging from 2% to 17%.
• This variability often reflects the experience level of the sinus surgeon.
• Endoscopic sinus surgery carries similar risks to traditional intranasal or external approaches.

Purpose of the Study:

• To highlight the importance of surgeon experience and vigilance in managing intranasal sinus surgery risks.
• To emphasize the need for specialized training with new technologies in endoscopic sinus surgery.
• To underscore the common and devastating complications associated with sinus surgery.

Main Methods:

• Review of common and severe complications in intranasal sinus surgery.
• Emphasis on preventative strategies through meticulous surgical preparation.
• Integration of traditional and modern surgical principles with rigorous postoperative care.

Main Results:

• Common complications include synechia formation, orbital hematoma, and antrostomy closure.
• Devastating complications such as cerebrospinal fluid (CSF) leak with meningitis, double vision, and blindness can occur.
• Prevention through diligent preparation and careful technique is paramount.

Conclusions:

• Safe sinus surgery hinges on a combination of thorough preparation, precise surgical technique, and diligent postoperative management.
• Continuous training and heightened vigilance are essential, particularly with the adoption of new surgical technologies.
• Minimizing complication rates necessitates a proactive approach focused on prevention.