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Complications following rhinotomy. Review of 148 patients
P J Bernard1, H F Biller, W Lawson
1Department of Otolaryngology, Mount Sinai Medical Center, New York, NY 10029.
Abstract:
For the period 1974 to 1988, 148 patients undergoing 162 rhinotomies at The Mount Sinai Medical Center, New York, for a variety of benign and malignant neoplasms were reviewed with particular attention to postoperative complications. The effects of certain predisposing factors such as prior rhinotomy, lateral versus total rhinotomy, additional medial maxillectomy or craniofacial resection, and preoperative irradiation or nasal bone erosion are discussed. In addition, a surgical technique of rhinotomy with medial maxillectomy is presented that includes maneuvers designed to prevent these complications.
Insights
This study reviewed 162 rhinotomies for neoplasms, identifying factors influencing postoperative complications. A surgical technique to prevent these complications during rhinotomy with medial maxillectomy is presented.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Oncology
Background:
- Rhinotomy is a surgical approach for neoplasms of the nasal cavity and paranasal sinuses.
- Postoperative complications can significantly impact patient outcomes following rhinotomy procedures.
Purpose of the Study:
- To review postoperative complications associated with rhinotomy for benign and malignant neoplasms.
- To identify predisposing factors that may increase the risk of complications.
- To present a surgical technique aimed at preventing complications during rhinotomy with medial maxillectomy.
Main Methods:
- Retrospective review of 162 rhinotomies performed between 1974 and 1988.
- Analysis of patient data, including predisposing factors and surgical techniques.
- Evaluation of postoperative complications.
Main Results:
- Identified several predisposing factors for complications, including prior rhinotomy, extent of resection (lateral vs. total), and combined procedures like medial maxillectomy or craniofacial resection.
- Preoperative irradiation and nasal bone erosion were also noted as potential risk factors.
- The presented surgical technique incorporates specific maneuvers to mitigate these risks.
Conclusions:
- Understanding predisposing factors is crucial for managing rhinotomy complications.
- The described surgical technique offers a method to reduce the incidence of postoperative complications.
- This approach aims to improve patient outcomes in the surgical management of nasal and paranasal neoplasms.