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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
ADVANCES IN OTOLARYNGOLOGY IN 2011
Otorinolaringologia 2011 December;61(4):143-51
Prevention of complications in endoscopic sinus surgery
Leung R. M., Chandra R. K.
Department of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
Conducting effective endoscopic sinus surgery while avoiding complications comes from multiple levels of understanding. First, surgeons must be able to have a comprehensive understanding of sinonasal anatomy as well as the variations that may be present. Systematic preoperative review of imaging and recognition of potential pitfalls is the most important element of prevention. Second, conducting surgery in a minimally traumatic fashion and addressing at-risk areas helps minimize risk of injury and poor outcomes. Finally, secondary prevention is important. Once injury has occurred, prevention of more serious sequelae is required. The management of retroorbital hematoma and CSF leak – as prevention of blindness and meningitis – are discussed. This article will provide a systematic approach to each of these key facets of endoscopic sinus surgery. By following this approach, the risk of complications during surgery can be minimized.