Fatal and major complications secondary to nasal and sinus surgery

Maniglia, Anthony J.

doi:10.1288/00005537-198903000-00008

Cited by 167 publications

(75 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An ocular compartment syndrome may be present, necessitating immediate surgical decompression to preserve vision. 64 Prognosis, treatment, and prevention of ION Buono and Foroozan 14 summarized the lack of proof that treatment altered the course of PION. In a few case reports, increasing arterial pressure or haemoglobin, or applying hyperbaric oxygen, improved visual outcome.…”

Section: Haemodilutionmentioning

confidence: 99%

Perioperative visual loss: what do we know, what can we do?

Roth¹

2009

British Journal of Anaesthesia

253

116

View full text Add to dashboard Cite

Perioperative visual loss (POVL), a rare, but devastating complication, can follow non-ocular surgery. Highest rates of visual loss are with cardiac and spine surgery. The main causes of visual loss after non-ocular surgery are retinal vascular occlusion and ischaemic optic neuropathy. This review updates readers on the incidence, suspected risk factors, diagnosis, and treatment of POVL due to these conditions. Br J Anaesth 2009; 103 (Suppl. 1): i31-i40Keywords: complications, neurological; complications, neuropathy; eye, intraocular pressure; eye, pupil; surgery, spinal Visual loss after anaesthesia and surgery is a rare, unexpected, and devastating complication. Clinicians have suspected that incidence is increasing, particularly with spinal fusion surgery; however, recent data suggest that this may not be the case. This review will update readers on the incidence, suspected risk factors, diagnosis, and treatment of perioperative visual loss (POVL), in the setting of non-ocular surgery. The causes of POVL are primarily retinal vascular occlusion (RVO) and ischaemic optic neuropathy (ION). The relevant anatomy of the ocular circulation has been reviewed elsewhere and is summarized in Figure 1. 80 Other sources are glycine toxicity during transurethral resection of the prostate, acute angle closure glaucoma, cortical blindness, and expansion of an intraocular sulphur hexafluoride vitrectomy bubble by administration of nitrous oxide. As these are less common, the reader is referred for details to a recent more inclusive review. 80

show abstract

Section: Haemodilutionmentioning

confidence: 99%

Perioperative visual loss: what do we know, what can we do?

Roth¹

2009

British Journal of Anaesthesia

253

116

View full text Add to dashboard Cite

show abstract

“…After 24 h, the fistula was repaired with a free flap of middle turbinate mucosa secured with fibrin glue (tissucol ® ) and bioabsorbable material packing (Surgycel ® ). Previously, a 2-mL 5% fluorescein intrathecal injection was performed, according to our routine procedure [12]. The CSF leak was corrected immediately.…”

Section: Resultsmentioning

confidence: 99%

“…FESS has become the standard surgical technique for the treatment of chronic sinusitis [13]; however, FESS is not without serious risks, mainly due to the anatomical complexities of the structures surrounding the sinuses (content ocular orbit, anterior cranial fossa, cavernous sinus and internal carotid artery) [2] [12]. Moreover, the operative field is formed by narrow slits with walls that bleed abundantly, sometimes only by contact with surgical instruments [8] [14].…”

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

“…13,14 This may then result in visual impairment. Although, the use of nasal endoscopes was not obtainable in the sub-region when this patient had her surgery 8 years ago, we expect that the blindness would have developed earlier if it was due to complications from that surgical procedure.…”

Section: Discussionmentioning

confidence: 99%