Complications of endoscopic sinus surgery: appropriate management of complications

Ulualp, Seckin O.

doi:10.1097/moo.0b013e3282fdc3b2

Cited by 42 publications

(44 citation statements)

References 36 publications

(38 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, in Keros I, surgery may be safer to perform. [5][6][7][8][9][10][11] Uncinectomy is the primary step of ESS. The attachment of the uncinate process can vary and should be analyzed before surgery.…”

Section: Discussionmentioning

confidence: 99%

Importance of Keros Classification in Surgery

Sarı¹,

Yıldırım²,

Önol³

et al. 2017

Otolaryngol Open J

View full text Add to dashboard Cite

Objective:The relationship between the cribriform plate and the uncinate process may be elaborated with the help of the Keros classification. The observations were analysed using high-resolution computed tomography (HRCT). Additionally, the relationship between the superior attachment of the uncinate process, the existence of concha bullosa, and the different types of ethmoid roofs were examined. Methods: Five-hundred and sixteen subjects complaining of sinonasal disorders between 2015 and 2016 were enrolled retrospectively at the Okmeydani Training and Research Hospital, Department of Otolaryngology. HRCT scans of 1-mm sections were obtained. Keros classification was used for the measurement of the depth of the olfactory fossa as follows: Keros I: 1-3 mm, Keros II: 3-7 mm, and Keros III: 7-16 mm. Results: Fifty-one point nine percentage of cases were of Keros type II, 27.7% of type III, and 20.3% of type I. In 82.4% of the reported cases, the uncinate process was attached to the lamina papyraceae, in 11% of the cases it was attached to the middle nasal turbinate, and in 6.4% cases to the skull base. A concha bullosa was observed in the right nasal cavity in 13.8% of the cases, in the left nasal cavity in 11% of the cases, and bilaterally in 16.3% of the cases. Variances observed in the Keros types were not statistically significant with respect to sex (p>0.05). Concha bullosa was significantly more frequently seen in females (53.1%) relative to males (p=0.001). Conclusion: Endoscopic sinus surgery (ESS) is the primary mode of treatment for chronic sinus diseases. In this procedure, a proper assessment of the vital structures is very important to avoid further complications. In the present study, it has been suggested that determining the depth of the ethmoid roof is necessary to avoid injuring the bony lamella, which can lead to cerebrospinal fluid rhinorrhea.

show abstract

Section: Discussionmentioning

confidence: 99%

Importance of Keros Classification in Surgery

Sarı¹,

Yıldırım²,

Önol³

et al. 2017

Otolaryngol Open J

View full text Add to dashboard Cite

show abstract

“…Keros type III is the most vulnerable one and associated with higher the risk of penetration into the anterior cranial fossa during surgeries. This is because; in Keros type III height of the LLCP is comparably more than other type [6]. With the advancement of computed tomography (CT) scanning technique, the comprehensive, noninvasive assessment of the anatomy and possible lesion in the sinonasal region can be studied in detail prior to surgeries.…”

Section: Introductionmentioning

confidence: 99%

Radiological Observation of Ethmoid Roof on Basis of Keros Classification and Its Application in Endonasal Surgery

Gupta¹,

Ramesh²

2017

IJAR

View full text Add to dashboard Cite

“…The pressure gradient between the subarachnoid space and the sinonasal cavities is reversed, which allows air to enter the subarachnoid spaces [16]. Pneumocephalus is characterized by the existence of a dehiscence osteomeningea and rhinoliquorrhea.…”

Section: Discussionmentioning

confidence: 99%

Endocranial Complications of Endoscopic Sinus Surgery: Learning from Experience

Armengot-Carceller¹,

Hernández-Sandemetrio²

2014

IJOHNS

View full text Add to dashboard Cite

Objectives: We critically reviewed our experiences in endocranial complications with Functional Endoscopic Sinus Surgery, and investigated the causes, prevention strategies and management. Methods: We conducted a retrospective study of endocranial complications with Functional Endoscopic Sinus Surgery performed during last 10 years in our ENT department. We analyzed endocranial complications, their causes, consequences, treatments and outcomes. Management was performed in collaboration with neurosurgeons and infectious diseases specialists. Results: Of 763 Functional Endoscopic Sinus Surgery procedures, we identified three cases with endocranial complications (0.393%). These complications included: a case of postoperative severe cerebrospinal fluid leak in a patient treated for severe polyposis; a case of cerebral-frontal abscess with delayed clinical manifestation (4 weeks post-surgery) in a patient treated for chronic pansinusitis who experienced difficult surgery for septal spur; and a case of pneumocephalus in a patient treated for allergic fungal sinusitis. The clinical outcome was favorable in all cases. Conclusions: Intraoperative cerebrospinal fluid leak, anatomical deformities (even minimal deformities) and massive inflammatory sinus disease are predisposing factors for endocranial complications with Functional Endoscopic Sinus Surgery. Prognosis can be favorable when therapeutic management is carried out in collaboration with neurosurgeons and infectious disease specialists.

show abstract

Complications of endoscopic sinus surgery: appropriate management of complications

Cited by 42 publications

References 36 publications

Importance of Keros Classification in Surgery

Importance of Keros Classification in Surgery

Radiological Observation of Ethmoid Roof on Basis of Keros Classification and Its Application in Endonasal Surgery

Endocranial Complications of Endoscopic Sinus Surgery: Learning from Experience

Contact Info

Product

Resources

About