Related Experiment Videos
Major complications of functional endoscopic sinus surgery
V L Cumberworth1, R M Sudderick, I S Mackay
1Department of Otolaryngology, Charing Cross Hospital, London, UK.
Clinical Otolaryngology and Allied Sciences
|June 1, 1994
Summary
Functional endoscopic sinus surgery (FESS) has seen a significant increase in UK practice. The study found a low major complication rate of 0.23%, with cerebrospinal fluid leaks being the most frequent serious issue.
Area of Science:
- Otolaryngology
- Neurosurgery
- Surgical Outcomes
Background:
- Functional endoscopic sinus surgery (FESS) is a common otolaryngologic procedure.
- Assessing the practice trends and complication rates of FESS is crucial for patient safety and surgical quality improvement.
Purpose of the Study:
- To determine the recent trends in the practice of FESS in the United Kingdom.
- To evaluate the major complication rate associated with FESS.
- To identify the types and frequencies of serious complications following FESS.
Main Methods:
- A postal questionnaire was distributed to surgeons performing FESS in the UK.
- Data collected included information on the volume of FESS procedures and reported major complications.
- Complications were categorized, and their incidence was calculated.
Main Results:
- The practice of FESS in the UK has increased exponentially.
- The overall major complication rate was found to be 0.23%.
- Cerebrospinal fluid (CSF) leak was the most common serious complication, reported in 24 out of 36 cases.
Conclusions:
- FESS practice is rising rapidly in the UK.
- The major complication rate for FESS is low, indicating a relatively safe procedure.
- Cerebrospinal fluid leaks represent a significant concern among serious FESS complications that require careful management.