Pitfalls in Sinus Surgery: An Overview of Complications

Peter F Svider; Soly Baredes; Jean Anderson Eloy

doi:10.1016/j.otc.2015.05.002

Pitfalls in Sinus Surgery: An Overview of Complications

Otolaryngol Clin North Am. 2015 Oct;48(5):725-37. doi: 10.1016/j.otc.2015.05.002. Epub 2015 Jun 24.

Authors

Peter F Svider¹, Soly Baredes², Jean Anderson Eloy³

Affiliations

¹ Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ 07103, USA; Department of Otolaryngology - Head and Neck Surgery, Wayne State University School of Medicine, Detroit, MI, USA.
² Department of Otolaryngology - Head and Neck Surgery, Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA.
³ Department of Otolaryngology - Head and Neck Surgery, Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA; Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, NJ 07103, USA; Department of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, NJ 07103, USA. Electronic address: Jean.anderson.eloy@gmail.com.

PMID: 26117302
DOI: 10.1016/j.otc.2015.05.002

Abstract

There is a potential for significant complications from the medical and surgical 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 seqsuelae. 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.

Keywords: Cerebrospinal fluid leak; Chronic rhinosinusitis; Endoscopic sinus surgery; Macrolides in rhinosinusitis; Medicolegal; Orbital injury; Systemic corticosteroids; Topical corticosteroids.

Publication types

Review

MeSH terms

Cerebrospinal Fluid Leak / etiology
Chronic Disease
Drug-Related Side Effects and Adverse Reactions
Endoscopy / adverse effects*
Humans
Paranasal Sinuses / surgery*
Postoperative Complications / etiology
Postoperative Complications / prevention & control*
Postoperative Hemorrhage / etiology
Rhinitis / therapy*
Sinusitis / therapy*
Skull Base / diagnostic imaging
Skull Base / surgery
Tomography, X-Ray Computed