A comprehensive study on complications of endoscopic sinus surgery
Keywords:FESS, Complication, Endoscopic sinus surgery
Background: In recent years, functional endoscopic sinus surgery has become the standard of care in the surgical management of chronic sinusitis and sino nasal polyposis. Because of highly variable anatomy and closely related vital structures, it has many potential complications. This study aims to evaluate the complications of FESS, factors influencing its occurrence and management of complications.
Methods: This is a prospective study done in a tertiary care hospital over a period of one year. The first 100 patients diagnosed as chronic sinusitis or sino nasal polyposis, planned for FESS were included in the study and they were followed up for three months, post operatively. The occurrence of complications and factors associated with that were studied.
Results: We had 1% of major complications and 12% of minor complications in this study. Major factors influencing the occurrence of complications are extension of the disease pathology and anatomical variations of the paranasal sinuses.
Conclusions: FESS is one of the commonly performed surgeries in Rhinology, and the occurrence of major complications is less and extensive disease with altered anatomy is the major factor in the occurrence of complications.
Messerklinger W. Endoscopy of the nose. Baltimore: Urban and Schwarzenberg; 1978;1(1)100-1.
Stammberger H. Endoscopic endonasal surgery – concepts in treatment of recurring rhinosinusitis. Part II. Surgical technique. Otolaryngol Head Neck Surg. 1986;94(2):147–56.
Kennedy DW. Functional endoscopic sinus surgery, technique. Arch otolaryngol. 1985;111:643-9.
Lund VJ, Kennedy DW. Quantification for staging sinusitis. The Staging and Therapy Group. Ann Otol Rhinol Laryngol Suppl. 1995;167:17–21.
Lund VJ, MacKay IS. Staging in rhinosinusitis. Rhinol. 1993;31:183-4
Stammberger H. Functional endoscopic sinus surgery: the Messerklinger technique. Philadelphia: BC Decker; 1991.
Boezaart AP, van der Merwe J, Coetzee A. Comparison of sodium nitroprusside- and esmolol-induced controlled hypotension for functional endoscopic sinus surgery. Can J Anaesth. 1995;42(51):373-6.
Maniglia AJ. Fatal and major complications secondary to nasal and sinus surgery. Laryngoscope 1989;99:267-83.
Mattox DE, Kennedy DW. Endoscopic management of cerebrospinal fluid leaks and cephaloceles. Laryngoscope. 1990;100:857-62.
May M, Levine HL, Mester SJ, Schaitkin B. Complications of endoscopic sinus surgery: Analysis of 2108 patients – Incidence and prevention. Laryngoscope. 1994;104:1080-3.
Stankiewicz JA. Blindness and intranasal endoscopic ethmoidectomy. Prevention and management. Oto laryngol Head Neck Surg. 1989;101:320-9.