A Report on 15 Years of Clinical Negligence Claims in Rhinology

Geyton, Thomas; Odutoye, Tunde; Mathew, Rajeev

doi:10.2500/ajra.2014.28.4118

Cited by 8 publications

(7 citation statements)

References 16 publications

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“…Claims due to surgical complications from ESS were most successful, involving 11 cases of orbital injury, which included 6 cases of visual loss and 5 cases of diplopia. 11 A study by Svider et al was based on ''Jury verdict and settlement'' reports to detail factors governing legal outcomes in iatrogenic orbital injury. Twenty cases of iatrogenic orbital injuries were included.…”

Section: Discussionmentioning

confidence: 99%

Medial Rectus Anastomosis Under Endoscopic Endonasal Orbital Approach With Image-Guided Navigation: A New Way of Repairing a Ruptured Medial Rectus

Luo

et al. 2019

Ear Nose Throat J

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Background: With the extensive development of endoscopic sinus surgery, iatrogenic medial rectus muscle injury should be treated with caution. Traditional methods to repair a ruptured medial rectus need an anterior orbitotomy approach, with more injury and difficulty in finding the posterior end of the ruptured medial rectus. Objective: To explore a new method to repair a ruptured medial rectus. Methods: Eight cases of iatrogenic medial rectus rupture after endoscopic sinus surgery were reviewed from July 2015 to January 2019. Assisted by image-guided navigation, the ruptured medial rectus was sutured under an endoscopic endonasal orbital approach. Two methods were designed to suture the ruptured medial rectus. Optic nerve and orbital decompression were performed in 5 cases with visual impairment. The extent of exotropia and diplopia were followed up for 5 to 33 months after surgery. Results: With the help of image guidance, the posterior and anterior ends of the ruptured medial rectus of all patients were pinpointed, and operations using medial rectus anastomosis were successfully completed in 7 patients. The exotropia of these patients was corrected, and they have recovered. The vision of 2 patients recovered. There were no minor or major complications intraoperatively or postoperatively. Conclusion: Assisted by image-guided navigation, medial rectus anastomosis under an endoscopic endonasal orbital approach is a feasible method. The key to preventing orbital complications is strict professional training, including identification of the Onodi air cell and correct application of powered instrumentation.

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Section: Discussionmentioning

confidence: 99%

Medial Rectus Anastomosis Under Endoscopic Endonasal Orbital Approach With Image-Guided Navigation: A New Way of Repairing a Ruptured Medial Rectus

Luo

et al. 2019

Ear Nose Throat J

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“…Therefore, any potential for fewer surgical complications associated with the endoscopic septoplasty technique may be worthwhile in considering and exploring further in future studies. 44 Furthermore, with competency-based education becoming more prominent within medical education, evaluating trainee competency in various approaches to septoplasty will be necessary. 45 In the study by Paradis and Rotenberg, 30 the endoscopic septoplasty technique was also associated with a significantly shorter operative time (mean difference, 28 minutes).…”

Section: O N O T C O P Ymentioning

confidence: 99%

Open versus Endoscopic Septoplasty Techniques: A Systematic Review and Meta-Analysis

Hong

Monteiro

Badhiwala

et al. 2016

Am J Rhinol�Allergy

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“…11 In addition, to a lesser extent, errors in diagnosis, such as missed diagnoses, are the second most common of rhinology-related litigation. 12 This, taken together with the improved outcomes with early intervention and the negative impact on quality of life with a late diagnosis, prompts a reexamination of the true value of histopathologic analysis in elective nasal surgery. Nevertheless, based on the literature and our own institution's experience, routine histopathologic review of all specimens in elective nasal surgery, indeed, is not cost effective and should be considered on a case-by-case basis.…”

Section: Figure 1 Septal Contents From the Patient In Case 1 Demonstrating A Diffuse Infiltrate Of Atypical Moderate-to-large Lymphocytesmentioning

confidence: 99%