Komplikationen nach endonasalen Eingriffen bei entzündlichen NNH-Erkrankungen

Abstract

A higher complication rate is to be expected for primary surgery and after extended sinus surgery, especially when an infundibulotomy was performed. In our series no learning curve was observed, especially as the variable "experience" showed no statistically significant difference. Endonasal surgery without CAT scan is not recommended, however, no higher complication rate was found in surgery without CAT scan.

Danger points, complications and medico-legal aspects in endoscopic sinus surgery

“…Other authors explicitly did not notice any corresponding influence [86], [597]. Nevertheless, the majority of authors supports the view, that constant access to imaging modalities during sinus surgery represents currents standards.…”

“…The risk of a complication increases under the following circumstances [38], [39], [61], [62], [63], [68], [74], [76], [86], [87], [88], [89], [90], [91], [92]:…”

“…The increased risk during revision surgery is being questioned [72], [91], [94], in part initial surgeries are supposed to result in a higher rate of complications [86]. The side preference is also being partially disclaimed [91].…”

“…Different authors question or deny these facts [63], [68], [74], [75], [86], reporting the usual complication rate of teaching hospitals [108] or even an increased rate of complications with experienced surgeons [88], [193]. …”