Medical and surgical complications in the treatment of chronic rhinosinusitis:
Gespeichert in:
| Weitere Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pa.
Elsevier
2015
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| Schriftenreihe: | Otolaryngologic clinics of North America
48,5 |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XVI S., S. 725 - 889 zahlr. Ill. |
| ISBN: | 9780323400961 |
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| 245 | 1 | 0 | |a Medical and surgical complications in the treatment of chronic rhinosinusitis |c ed. James A. Stankiewicz |
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| adam_text | Titel: Medical and surgical complications in the treatment of chronic rhinosinusitis
Autor: Stankiewicz, James A
Jahr: 2015
Medical and Surgical Complications in the Treatment of Chronic Rhinosinusitis
Contents
Preface: Medical and Surgical Complications in the Treatment of Chronic
Rhinosinusitis
James A. Stankiewicz
Pitfalls in Sinus Surgery: An Overview of Complications 725
Peter F. Svider, Soly Baredes, and Jean Anderson Eloy
There is a potential for significant complications from the medical and surgi-
cal treatment of rhinosinusitis because of the intimate relationship between
the paranasal sinuses and surrounding vital structures. Familiarity with the
complex anatomic relationships between the skull base and other critical
structures and knowledge of pharmacologic properties of commonly used
medical therapies are essential for preventing serious and harmful seqsue-
lae. The authors hope that this review represents a valuable addition to the
otolaryngologist-in-training s therapeutic armamentarium, and also serves
as a reminder of the potential pitfalls for the experienced sinus surgeon.
Anatomy and Complications: Safe Sinus 739
Muhamad A. Amine and Vijay Anand
Safe sinus surgery is predicated on a clear understanding and knowledge
of the anatomy. The paranasal sinuses are surrounded by vital vascular
and neurologic structures. In every step during the surgical procedure,
one should know the regional surrounding anatomy and the potential com-
plications that can be encountered if the procedures traverse these areas.
Preoperative assessment of the imaging is important to identify potential
hazardous areas.
Orbital Complications Associated with the Treatment of Chronic Rhinosinusitis 749
Alpen B. Patel, Joseph M. Hoxworth, and Devyani Lai
Orbital injuries from endoscopic sinus surgery are rare but potentially cata-
strophic. The most feared complications from sinus surgery include blind-
ness and diplopia. Recent publications note that the rate of orbital
complications has decreased when compared with the past, reflecting
the use of endoscopes, better technology, and improved training. The
sinus surgeon must have mastery over the procedure she or he plans to
undertake and be aware of the specific potential for orbital injury given
the patient s anatomy and disease. The sinus surgeon must also have
expert knowledge of the appropriate and immediate medical and surgical
management of orbital complications.
Neurologic Complications and Treatment 769
Kevin C. Welch
Risk is inherent with all surgical procedures. Most endoscopic sinus sur-
gery (ESS) is uncomplicated. Among the many complications inherent
x Contents
with ESS are the neurologic complications, which include cerebrospinal
fluid rhinorrhea, traumatic soft tissue and vascular injuries, infection, and
seizures. Despite intense review of a patient s preoperative scans, use
of stereotactic image guidance, and an expert understanding of anatomy,
neurologic complications occur. An understanding of these complications
and how to manage them can help to reduce long-term patient injury as
well as help prevent recurrence.
Hemorrhagic Complications of Endoscopic Sinus Surgery 78S
Ashleigh A. Halderman, Raj Sindwani, and Troy D. Woodard
Major complications during endoscopic sinus surgery are rare and occur in
0.36% to 3.1 % of patients. Postoperative hemorrhage accounts for 23%
to 39% of complications. Despite being rare, major hemorrhage can be
serious for the patient. This article discusses hemorrhagic complications
during and following endoscopic sinus surgery, focusing on a review of
the surgical anatomy, common pitfalls to avoid, preventative measures,
and management of certain catastrophic complications for which pre-
paredness can mean the difference between life and death.
Olfaction in Endoscopic Sinus and Skull Base Surgery 795
Christopher F. Thompson, Robert C. Kern, and David B. Conley
Olfactory dysfunction is a common complaint for patients with chronic rhi-
nosinusitis, because smell loss decreases a patient s quality of life. Smell
loss is caused by obstruction from polyps, nasal discharge, and mucosal
edema, as well as inflammatory changes within the olfactory epithelium.
Addressing olfaction before endoscopic sinus and skull base surgery is
important in order to set postoperative expectations, because an improve-
ment in smell is difficult to predict. Several commercially available olfactory
testing measures are available and can easily be administered in clinic.
During surgery, careful dissection within the olfactory cleft is recommen-
ded in order to optimize postoperative olfactory function.
imaging of the Paranasal Sinuses: Mitigation, Identification, and Workup of
Functional Endoscopic Surgery Complications 805
Salvatore V. Labruzzo, Nafi Aygun, and S. James Zinreich
The purpose of this article is to identify and define the appropriate imaging
techniques in the evaluation of post-functional endoscopic surgery (FESS)
complications. Although most complications encountered during FESS
are identified readily during surgery, some are less conspicuous and
require postoperative imaging. As illustrated in this article, these include
cerebrospinal fluid leak, vascular injury, brain injury, orbital injury, and in-
fectious complications of the brain and meninges. Some of the common
anatomic variants of the paranasal sinuses are identified, and how these
may predispose to surgical complications is discussed.
Medicolegal Implications of Common Rhinologic Medications 817
David M. Poetker and Timothy L. Smith
As otolaryngologists, we prescribe many medications to our patients. The
objective of this article is to review the potential side effects and medico-
legal risks of the common medications used to treat chronic rhinosinusitis.
Contents xi
The authors evaluate some of the common side effects as well as the pub-
lished literature on the lawsuits associated with those medications. Finally,
the authors review the informed consent discussion and opportunities to
improve patient care and decrease the risk of litigation.
Medicolegal Issues in Endoscopic Sinus Surgery and Complications 827
James A. Stankiewicz and Jeffrey Hotaling
Complications occur during and after endoscopic sinus surgery. Compli-
cations leading to temporary or most commonly permanent injury often
are involved in litigation for malpractice. This article concentrates on areas
of importance that are considered during medicolegal deliberations.
Early Practice: External Sinus Surgery and Procedures and Complications 839
John S. Schneider, Andrew Day, Matthew Clavenna, Paul T. Russell III,
and James Duncavage
External approaches to the paranasal sinuses are rarely used in the endo-
scopic era. However, their indications for use have not changed, and in
every surgeon s career those indications may present themselves. For res-
idents training in the endoscopic era, these procedures are also very rarely
seen. In this article, the external approaches to the maxillary, ethmoid, and
frontal sinuses are described: their original descriptions, modern use, and
potential complications. It is hoped that this article will serve to instruct
residents and practitioners alike in these techniques.
Does Image-Guided Surgery Reduce Complications? 851
Vijay R. Ramakrishnan and Todd T. Kingdom
Image-guided surgery (IGS) is progressively used in endoscopic sinus sur-
gery (ESS), and surgeon comfort with the technology has increased. It re-
mains a challenge to determine if the use of IGS in ESS leads to a reduction
in surgical complications and improved outcomes. Current literature does
not show a clear reduction in surgical complications. The routine use of
IGS in ESS as a deterrent to medicolegal liability is not substantiated by
recent reported data. There are particular situations in which IGS may
be helpful, but its use is likely not required for routine ESS and seems
best left to surgeon discretion.
Rare and Other Notable Complications in Endoscopic Sinus Surgery 861
James R. Martin and Monica O. Patadia
This article focuses on the rare and obscure complications of endoscopic
sinus surgery. The majority of surgeons will not encounter these complica-
tions in their practice, but should be aware of their possibility. With knowl-
edge of these rare complications, the surgeon can understand the
possible avoidance as well as urgent management of these problems.
Avoiding Complications in Endoscopic Sinus Surgery 871
Ian M. Humphreys and Peter H. Hwang
Complications of endoscopic sinus surgery (ESS) can range from the
mundane to the catastrophic, with nasal hemorrhage being the most
xii Contents
common. Intraorbital and intracranial complications are much less com-
mon. Despite the rarity of complications, they are often avoidable. Certain
identifiable risk factors can be appreciated during the preoperative, intra-
operative, and postoperative evaluations of the sinus patient. With aware-
ness of these risk factors the rhinologist can develop a strategic plan of risk
factor mitigation. This article identifies areas of increased risk that are
amenable to preventive strategies before complications become realized.
Index
883
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| spellingShingle | Medical and surgical complications in the treatment of chronic rhinosinusitis Otolaryngologic clinics of North America |
| title | Medical and surgical complications in the treatment of chronic rhinosinusitis |
| title_auth | Medical and surgical complications in the treatment of chronic rhinosinusitis |
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| title_full | Medical and surgical complications in the treatment of chronic rhinosinusitis ed. James A. Stankiewicz |
| title_fullStr | Medical and surgical complications in the treatment of chronic rhinosinusitis ed. James A. Stankiewicz |
| title_full_unstemmed | Medical and surgical complications in the treatment of chronic rhinosinusitis ed. James A. Stankiewicz |
| title_short | Medical and surgical complications in the treatment of chronic rhinosinusitis |
| title_sort | medical and surgical complications in the treatment of chronic rhinosinusitis |
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