[Severe complications in the treatment of chronic rhinosinusitis and nasal polyps with endoscopic sinus surgery].

Autor:	Shi GG; Department of Otorhinolaryngology, Shandong Provincial Hospital & Shandong University, Jinan 250021, China. 7036285@163.com, Li XG, Wang ZD
Jazyk:	čínština
Zdroj:	Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery [Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi] 2007 Jan; Vol. 42 (1), pp. 19-22.
Abstrakt:	Objective: To investigate the classification, incidence and influential factors of severe complications occurred in endoscopic sinus surgery (ESS) and how to deal with them. Methods: One thousand and one hundred two patients with chronic sinusitis and nasal polyps treated by ESS were analyzed. Results: Twenty-one patients had severe complications. The types of complication included intraorbital hematoma (n=3), medial rectus injury (n=2), blindness (n=1), intracranial, hematoma (n=1), cerebrospinal rhinorrhea (n=3), nasolacrimal duct injury (n=3), nasal septum perforation (n=2), hemorrhage (n=2), thrombosis in legs (n=2) and asthma (n=2). The total incidence of severe complications was 1.91% (21/1102), most of which were complications in orbit (0.54%) and cranium (0.36%). The extent of the lesion, the surgical history of the patients, the technique and experience of the surgeons were the most important influential factors to severe complications. Conclusions: Although there are many influential factors to severe complications in ESS, subjective factors are the more important, especial, the technique and the experience of the surgeon.
Databáze:	MEDLINE
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