Preventing and Managing Complications in Frontal Sinus Surgery - 22/07/16

Doi : 10.1016/j.otc.2016.03.019

Jean Anderson Eloy, MD ^a,^b,^c,^d,^⁎ , Peter F. Svider, MD ^e, Michael Setzen, MD ^f,^g
^a Department of Otolaryngology–Head and Neck Surgery, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA
^b Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, Newark, NJ, USA
^c Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA
^d Department of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, NJ, USA
^e Department of Otolaryngology–Head and Neck Surgery, Wayne State University School of Medicine, Detroit, MI, USA
^f Rhinology Section, North Shore University Hospital, Manhasset, NY, USA
^g Department of Otolaryngology, New York University School of Medicine, New York, NY, USA

^∗Corresponding author. Endoscopic Skull Base Surgery Program, Otolaryngology Research, Rhinology and Sinus Surgery, Department of Otolaryngology–Head and Neck Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103.Endoscopic Skull Base Surgery ProgramOtolaryngology ResearchRhinology and Sinus SurgeryDepartment of Otolaryngology–Head and Neck SurgeryNeurological Institute of New JerseyRutgers New Jersey Medical School90 Bergen StreetSuite 8100NewarkNJ07103

Résumé

This review covers potential complications of frontal sinus surgical management and strategies for prevention of these complications. Accordingly, recent advances in frontal sinus surgical techniques are described, and the management of complications stemming both from these and traditional techniques are detailed.

Le texte complet de cet article est disponible en PDF.

Keywords : Frontal sinusitis, Balloon catheter dilation, Frontal sinusotomy, Endoscopic sinus surgery, Endoscopic frontal sinus surgery, Orbital injury, Cerebrospinal fluid leak, Frontal sinus outflow tract

Plan

Key points

Introduction

Preoperative evaluation

Patient Selection and Counseling

Preoperative Review of Imaging

Hemostasis

Intraoperative techniques and relevant anatomy

Endoscopic Endonasal Frontal Sinusotomy: Basic and Advanced Approaches and Potential Complications

Frontal Sinus Balloon Catheter Dilation

External Approaches to Frontal Sinus Surgery

Review of specific complications

Cerebrospinal Fluid Leak

Orbital Injury

Bleeding and Vascular Injury

Mucocele Formation

Summary

	Financial Disclosures: None.
	Conflicts of Interest: M. Setzen: Speaker's Bureau for Meda and Advisory Board for Merck and Lannett (not related to current subject).