Skip to main content

Complications of Endoscopic Sinus Surgery

  • Chapter
  • First Online:
Contemporary Rhinology: Science and Practice

Abstract

This chapter specifically considers the complications associated with endoscopic sinus surgery, starting with a means of classification before discussing the details of complications based on the primary domains of vascular trauma, neurological sequelae and orbital complications. The text includes methods tips and pearls of wisdom for preventing and managing individual complications.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Krings JG, Kallogjeri D, Wineland A, Nepple KG, Piccirillo JF, Getz AE. Complications of primary and revision functional endoscopic sinus surgery for chronic rhinosinusitis. Laryngoscope. 2014;124(4):838–45. https://pubmed.ncbi.nlm.nih.gov/24122737/

    Article  PubMed  Google Scholar 

  2. Stankiewicz JA, Lal D, Connor M, Welch K. Complications in endoscopic sinus surgery for chronic rhinosinusitis: a 25-year experience. Laryngoscope. 2011;121:2684–701. https://pubmed.ncbi.nlm.nih.gov/22086769/

    Article  PubMed  Google Scholar 

  3. Ramakrishnan VR, Kingdom TT, Nayak JV, Hwang PH, Orlandi RR. Nationwide incidence of major complications in endoscopic sinus surgery. Int Forum Allergy Rhinol. 2012;2(1):34–9. https://pubmed.ncbi.nlm.nih.gov/22311839/

    Article  PubMed  Google Scholar 

  4. Alsaleh S, Manji J, Javer A. Optimization of the surgical field in endoscopic sinus surgery: an evidence-based approach. Curr Allergy Asthma Rep. 2019;19(1):8. https://pubmed.ncbi.nlm.nih.gov/30712131/

    Article  PubMed  Google Scholar 

  5. Sieskiewicz A, Olszewska E, Rogowski M, Grycz E. Preoperative corticosteroid oral therapy and intraoperative bleeding during functional endoscopic sinus surgery in patients with severe nasal polyposis: A preliminary investigation. Ann Otol Rhinol Laryngol. 2006;115(7):490–4. https://pubmed.ncbi.nlm.nih.gov/16900802/

    Article  PubMed  Google Scholar 

  6. Kennedy DW. Management of the visual field in endoscopic sinus surgery. Int Forum Allergy Rhinol. 2020;10:139–40. https://pubmed.ncbi.nlm.nih.gov/32086999/

    Article  PubMed  Google Scholar 

  7. Ko MT, Chuang KC, Su CY. Multiple analyses of factors related to intraoperative blood loss and the role of reverse Trendelenburg position in endoscopic sinus surgery. Laryngoscope. 2008;118(9):1687–91. https://pubmed.ncbi.nlm.nih.gov/18677276/

    Article  PubMed  Google Scholar 

  8. Simpson P. Perioperative blood loss and its reduction: the role of the anaesthetist. Br J Anaesth. 1992;69:498–507. https://pubmed.ncbi.nlm.nih.gov/1467083/

    Article  CAS  PubMed  Google Scholar 

  9. Zhen H, Gao Q, Cui Y, Hua X, Li H, Feng J. The use of oxymetazoline in nasal endoscopic sinus surgery. Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2003;17(5):281–2. https://pubmed.ncbi.nlm.nih.gov/12916356/

    PubMed  Google Scholar 

  10. Ha TN, Van Renen RG, Ludbrook GL, Valentine R, Ou J, Wormald PJ. The relationship between hypotension, cerebral flow, and the surgical field during endoscopic sinus surgery. Laryngoscope. 2014;124(10):2224–30. https://pubmed.ncbi.nlm.nih.gov/24604576/

    Article  PubMed  Google Scholar 

  11. Wormald PJ, van Renen G, Perks J, Jones JA, Langton-Hewer CD. The effect of the total intravenous anesthesia compared with inhalational anesthesia on the surgical field during endoscopic sinus surgery. Am J Rhinol. 2005;19(5):514–20. https://pubmed.ncbi.nlm.nih.gov/16270608/

    Article  PubMed  Google Scholar 

  12. Kim DK, Rhee CS, Kim JW. Electrocauterization and no packing may be comparable with nasal packing for postoperative hemorrhage after endoscopic sinus surgery. Am J Rhinol Allergy. 2016;30(3):e91–4. s

    Article  Google Scholar 

  13. Halderman AA, Sindwani R, Woodard TD. Hemorrhagic complications of endoscopic sinus surgery. Otolaryngol Clin N Am. 2015;48:783–93. https://pubmed.ncbi.nlm.nih.gov/26318796/

    Article  Google Scholar 

  14. Moon HJ, Kim HU, Lee JG, Chung IH, Yoon JH. Surgical anatomy of the anterior ethmoidal canal in ethmoid roof. Laryngoscope. 2001;111:900.

    Article  CAS  PubMed  Google Scholar 

  15. Lund VJ, Stammberger H, Fokkens WJ, Beale T, Bernal-Sprekelsen M, Eloy P, et al. European position paper on the anatomical terminology of the internal nose and paranasal sinuses. Rhinol Suppl. 2014;24:1–34. https://pubmed.ncbi.nlm.nih.gov/24720000/

    PubMed  Google Scholar 

  16. May M, Levine HL, Mester SJ, Schaitkin B. Complications of endoscopic sinus surgery. Laryngoscope. 1994;104(9):1080–3. https://doi.org/10.1288/00005537-199409000-00006.

    Article  CAS  PubMed  Google Scholar 

  17. Kono Y, Prevedello DM, Snyderman CH, Gardner PA, Kassam AB, Carrau RL, et al. One thousand endoscopic skull base surgical procedures demystifying the infection potential: incidence and description of postoperative meningitis and brain abscesses. Infect Control Hosp Epidemiol. 2011;32(1):77–83. https://pubmed.ncbi.nlm.nih.gov/21121816/

    Article  PubMed  Google Scholar 

  18. Stankiewicz JA, Chow JM. The low skull base—Is it important? Curr Opin Otolaryngol Head Neck Surg. 2005;13:19–21. https://pubmed.ncbi.nlm.nih.gov/15654210/

    Article  PubMed  Google Scholar 

  19. Preti A, Mozzanica F, Gera R, Gallo S, Zocchi J, Bandi F, et al. Horizontal lateral lamella as a risk factor for iatrogenic cerebrospinal fluid leak. Clinical retrospective evaluation of 24 cases. Rhinol J. 2018 . https://pubmed.ncbi.nlm.nih.gov/29785412/;56:358.

    Article  CAS  Google Scholar 

  20. Bernal-Sprekelsen M, Bleda-Vázquez C, Carrau RL. Ascending meningitis secondary to traumatic cerebrospinal fluid leaks. Am J Rhinol. 2000;14(4):257–9. https://pubmed.ncbi.nlm.nih.gov/10979500/

    Article  CAS  PubMed  Google Scholar 

  21. Lippert BM, Ringel K, Stoeter P, Hey O, Mann WJ. Stentgraft-implantation for treatment of internal carotid artery injury during endonasal sinus surgery. Am J Rhinol. 2007;21(4):520–4. https://pubmed.ncbi.nlm.nih.gov/17882927/

    Article  PubMed  Google Scholar 

  22. Graham SM, Nerad JA. Orbital complications in endoscopic sinus surgery using powered instrumentation. Laryngoscope. 2003;113(5):874–8. https://pubmed.ncbi.nlm.nih.gov/12792325/

    Article  PubMed  Google Scholar 

  23. Svider PF, Baredes S, Eloy JA. Pitfalls in sinus surgery: an overview of complications. Otolaryngol Clin North Ams. 2015;48:725–37.

    Google Scholar 

  24. Bolger WE, Parsons DS, Mair EA, Kuhn FA. Lacrimal drainage system injury in functional endoscopic sinus surgery: incidence, analysis, and prevention. Arch Otolaryngol Neck Surg. 1992;118(11):1179–84. https://pubmed.ncbi.nlm.nih.gov/1418897/

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Juan Carlos Ceballos Cantu .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Cantu, J.C.C., Alobid, I.A., Bernal-Sprekelsen, M. (2023). Complications of Endoscopic Sinus Surgery. In: Swift, A.C., Carrie, S., de Souza, C. (eds) Contemporary Rhinology: Science and Practice. Springer, Cham. https://doi.org/10.1007/978-3-031-28690-2_34

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-28690-2_34

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-28689-6

  • Online ISBN: 978-3-031-28690-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics