Vargas-Aguayo AM, Copado-Ceballos RE, Vivar-Acevedo E, Waizel-Haiat S, Contreras-Herrera R, Desentis-Vargasa E

Language: Spanish
References: 28
Page: 134-137
PDF size: 56.07 Kb.

ABSTRACT

Background: Endoscopic nasal and sinus surgery has been used greatly for the treatment of infl ammatory and neoplasm pathology, as well as for the approach of the extrasinus structures. Although it has proven to be a very successful method, it is not exempt of complications. Our objective was to identify the frequency of complications in patients with sinus and nasal pathology that underwent an endoscopic surgery of the nose and sinuses.
Methods: A total of 150 patients who underwent endoscopic sinus surgery, 75 women and 75 men, in a specialties hospital of the Instituto Mexicano del Seguro Social (IMSS). The type of pathology, surgical technique done, major and minor adverse event presented were recorded.
Results: We observed an overall complication rate of 18 %: 2.7 % corresponded to major, and 15.3 % to minor. The main pathologies were chronic rhinosinusitis without polyps (24.7 %) and sinus nasal tumors (22 %).
Conclusions: The overall complications and the major rates were similar to those reported in the literature. On the other hand, the minor adverse events were slightly higher. Still, endoscopic surgery has become a safe surgical treatment option.

REFERENCES

1. Lawson W, Reino AJ. The intranasal sphenoethmoidectomy. En: Schaefer SD, editor. Rhinology and sinus disease: A problem – oriented approach. St. Louis, MO: Mosby; 1998. p. 164-72.

2. Kennedy DW. International conference on sinus disease: Terminology, stating, therapy. Ann Otol Rhinol Laryngol. 1995;104(167):7-16.

3. Joe JK, Ho SY, Yanagisawa E. Documentation of variations in sinonasal anatomy by intraoperative nasal endoscopy. Laryngoscope. 2000;110(2 Pt 1): 281-5.

4. Waizel-Haiat S, Mora-Aguilar AL, Vargas-Aguayo A. El uso del microdebridador en la cirugía endoscópica de la nariz y los senos paranasales. An Orl Mex. 2010;55(2):43-6.

5. Stankiewicz JA. Complications of endoscopic sinus surgery. Otolaryngol Clin N Am. 1989;22(4):749-58.

6. Hopkins C, Browne JP, Slack R, Lund VJ, Topham J, Reeves BC, et al. Complications of surgery for nasal polyposis and chronic rhinosinusitis: The results of a national audit in England and Wales. Laryngoscope. 2006;116(8):1494-9.

7. Graham SM, Nerad JA. Orbital complications in endoscopic sinus surgery using powered instrumentation. Laryngoscope. 2003;113(5):874-8.

8. Ban JH, Kwon HJ, Lee KC. Outcomes of endoscopic sinus surgery in an elderly population: Comparison with those in an adult population. Clin Otolaryngol. 2010;35(4):300-6. doi:10.1111/j.1749-4486.2010.02 155.x.

9. Santorcuato F, Rojas VR. Cirugía transnasal transesfenoidal endoscópica de la región selar sin taponamiento nasal: un procedimiento confortable y seguro para los pacientes. Rev Chile Neurocienc. 2008;30(1):41-5.

10. Vargas-Aguayo A. Fundamentos de la cirugía endoscópica de la nariz y senos paranasales. México: El Manual Moderno; 2002; p. 41-7.

11. Stamberger H, Kopp, W. Functional endoscopic sinus surgery: The Messerklinger technique. Philadelphia: Decker; 1991. p. 7-16.

12. Miller AJ, Amedee RG. Sinus anatomy and function. En: Bailey BJ, Calhoun KH, editores. Head & Neck Surgery-Otolaryngology. Philadelphia: Lippincott- Raven; 1998. p. 413-21.

13. Becker SP. Applied anatomy of the paranasal sinuses with emphasis on endoscopic surgery. Ann Otol Rhinol Laryngol. 1994;103(162):3-11.

14. Jiang RS, Hsu CY. Functional endoscopic sinus surgery in children and adults. Ann Otol Rhinol Laryngol. 2000;109(12 Pt 1):1113-6.

15. Stankiewicz JA. Complications of sinus surgery. En: Bailey BJ, Calhoun KH editors. Head & Neck Surgery-Otolaryngology. Philadelphia: Lippincott- Raven; 1998. p. 497-511.

16. Gross RD, Sheridan MF, Burgess LP. Endoscopic sinus surgery complications in residency. Laryngoscope. 1997;107(8):1080-5.

17. Stankiewicz JA. Complications of microdebriders in endoscopic nasal and sinus surgery. Curr Opin Otolaryngol Head Neck Surg. 2002;10:26-8.

18. Vargas AA, Covarrubias AC. Descompresión orbitaria transnasal por vía endoscópica en la enfermedad de Graves: experiencia de 10 años. An Oral Mex. 2008;53(2):60-9.

19. Berenholz L, Kessler A, Sarfaty S, Segal S. Subarachnoid hemorrhage: A complication of endoscopic sinus surgery using powered instrumentation. Otolaringol Head Neck Surg. 1999;121 (5):665-7.

20. May M, Levine HL, Mester SJ, Schaitkin B. Complications of endoscopic sinus surgery: analysis of 2108 patients. Incidence and prevention. Laryngoscope. 1994;104(9):1080-3.

21. Bross SD, Schimelmitz IJ, Arrieta GJ, Guzmán UR. Complicaciones y causas de falla en cirugía endoscópica nasosinusal. An Med Asoc Med Hosp ABC. 1999;44(2):77-81.

22. Sharp HR, Crutchfi eld L, Rowe-Jones JM, Mitchell DB. Major complications and consent prior to endoscopic sinus surgery. Clin Otolaringol Allied Sci. 2001;26(1):33-56.

23. Cumberworth VL, Sudderick RM, Mackay IS. Major complications of functional endoscopic sinus surgery. Clin Otolaryngol Allied Sci. 1994;19(3):248-53.

24. Keerl R, Stankiewicz J, Weber R, Hosemman W, Draf W. Surgical experience and complications during endonasal sinus surgery. Laryngoscope. 1999; 109(4):456-550.

25. Bhatti MT, Giannoni CM, Raynor E, Monshizadeh R, Levine LM. Ocular motility complications after endoscopic sinus surgery with powered cutting instruments. Otolaryngol Head Neck Surg. 2001;125(5): 501-9.

26. Keerl R, Stankiewicz J, Weber R, Hosemann W, Draf W. Surgical experience and complications during endonasal sinus surgery. Laryngoscope. 1999; 109(4):546-50.

27. Tan BK, Chandra RK. Postoperative prevention and treatment of complications after sinus surgery. Otolaryngol Clin N Am. 2010;43(4):769-79.

28. Ramakrishnan VR, Suh JD. How necessary are postoperative debridements after endoscopic sinus surgery? Laryngoscope. 2011;121(1):8-9. doi: 10.1002/lary.21351.