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Endoscopic sinus surgery complications in residency
R D Gross1, M F Sheridan, L P Burgess
1Division of Otolaryngology, Head and Neck Surgery, Tripler Army Medical Center, Hawaii 96859-5000, U.S.A.
The Laryngoscope
|August 1, 1997
Summary
Functional endoscopic sinus surgery complication rates are comparable across teaching programs. While residents had more minor complications, they had fewer major ones compared to non-residents.
Area of Science:
- Otolaryngology
- Surgical Procedures
- Medical Education
Background:
- Functional endoscopic sinus surgery (FESS) is increasingly common in otolaryngology.
- Variability exists in FESS training, partly due to potential complications.
Purpose of the Study:
- To evaluate complication rates in a FESS teaching program.
- To compare these rates with other programs and non-resident surgeons.
Main Methods:
- Retrospective review of 106 consecutive FESS cases at a teaching institution.
- Comparison of complication rates between resident and non-resident surgeons.
- Analysis of complication rates based on anesthesia type.
Main Results:
- Overall complication rate was 13.9%, with all minor complications.
- Resident complication rate (16.6%) was higher than non-resident (10.5%).
- Residents had higher minor complication rates (15.9% vs. 8%) but lower major complication rates (0.7% vs. 2.5%).
- General anesthesia was associated with significantly more complications and blood loss than local anesthesia.
Conclusions:
- FESS complication rates in this teaching program are comparable to other institutions.
- While residents experience more minor complications, their major complication rate is lower.
- Anesthesia choice impacts complication rates and blood loss in FESS procedures.