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Updated: May 30, 2025
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
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Complication Rates Following Endoscopic Sinus Surgery for Chronic Sinusitis.
Ravi Dhamija1, Nikita Das1, Peng Ding2
1Case Western Reserve University School of Medicine, Cleveland, Ohio.
American Journal of Rhinology & Allergy
|January 30, 2025
Summary
Endoscopic sinus surgery (ESS) for chronic sinusitis is safe, with rare complications. Hemorrhagic risks are higher in men than women, while skull base and orbital complications are infrequent.
Area of Science:
- Otolaryngology
- Neurosurgery
- Ophthalmology
Background:
- Endoscopic sinus surgery (ESS) is a key treatment for chronic sinusitis (CRS) unresponsive to medication.
- Understanding potential complications is crucial for patient safety and informed consent.
Purpose of the Study:
- To quantify the rates of skull base, orbital, and hemorrhagic complications following ESS.
- To compare complication risks between genders.
Main Methods:
- Retrospective analysis of over 116,000 patients undergoing ESS for CRS over 20 years.
- Utilized the TriNetX platform for data extraction and outcomes analysis.
- Kaplan-Meier analysis assessed complication-free survival probabilities.
Main Results:
- Overall complication rates within 30 days: skull base (0.212%), orbital (0.741%), hemorrhagic (3.00%).
- Survival probabilities from complications: skull base (99.783%), orbital (99.260%), hemorrhagic (96.903%).
- Males showed a higher risk of hemorrhagic complications (3.2% vs. 2.8%, P < .0001).
Conclusions:
- ESS is a safe and effective procedure for managing CRS.
- Hemorrhagic complications, though rare, are more frequent than skull base or orbital issues.
- Hemorrhagic complication risk is elevated in males, informing patient counseling.
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