BOOK
Medical and Surgical Complications in the Treatment of Chronic Rhinosinusitis, An Issue of Otolaryngologic Clinics of North America, E-Book
(2016)
Additional Information
Book Details
Abstract
The small nasal anatomic area can offer challenges and complications to surgeons and physicians treating chronic rhinosinusitis. This compact, focused publication on Medical and Surgical Complications in Chronic Rhinosinusitis offers clinicians a current source of information to avoid complications and to address them when they arise. Sinus surgery expert and patient champion James Stankiewicz leads this issue with authors who are expert in various aspects of sinus treatment and surgery.
Topics include: Overview of complications; Anatomy of the sinus and complications; Orbital complications and treatment; Neurologic complications and treatment; Vascular complications and treatment; Smell loss and sinus surgery; Radiology for cases of higher risk of complications; Medication related complications and side effects; Medical-legal issues and complications; Does image guided surgery reduce complications?; Avoiding complications: overriding principles. Especially dedicated to Residents, Fellows and those in early practice is presentation of External Sinus Surgery and Procedures & Complications; when endoscopic procedures are the norm, how does one handle reversion to an open procedure, which often takes place in emergency situations.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Medical and SurgicalComplications in theTreatment of ChronicRhinosinusitis | i | ||
Copyright\r | ii | ||
PROGRAM OBJECTIVE | iii | ||
LEARNING OBJECTIVES | iii | ||
ACCREDITATION | iii | ||
DISCLOSURE OF CONFLICTS OF INTEREST | iii | ||
UNAPPROVED/OFF-LABEL USE DISCLOSURE | iii | ||
TO ENROLL | iv | ||
METHOD OF PARTICIPATION | iv | ||
CME INQUIRIES/SPECIAL NEEDS | iv | ||
Contributors | v | ||
EDITOR | v | ||
AUTHORS | v | ||
Contents | ix | ||
Preface: Medical and Surgical Complications in the Treatment of Chronic Rhinosinusitis\r | ix | ||
Pitfalls in Sinus Surgery: An Overview of Complications\r | ix | ||
Anatomy and Complications: Safe Sinus\r | ix | ||
Orbital Complications Associated with the Treatment of Chronic Rhinosinusitis\r | ix | ||
Neurologic Complications and Treatment\r | ix | ||
Hemorrhagic Complications of Endoscopic Sinus Surgery\r | x | ||
Olfaction in Endoscopic Sinus and Skull Base Surgery\r | x | ||
Imaging of the Paranasal Sinuses: Mitigation, Identification, and Workup of Functional Endoscopic Surgery Complications\r | x | ||
Medicolegal Implications of Common Rhinologic Medications\r | x | ||
Medicolegal Issues in Endoscopic Sinus Surgery and Complications\r | xi | ||
Early Practice: External Sinus Surgery and Procedures and Complications\r | xi | ||
Does Image-Guided Surgery Reduce Complications?\r | xi | ||
Rare and Other Notable Complications in Endoscopic Sinus Surgery\r | xi | ||
Avoiding Complications in Endoscopic Sinus Surgery\r | xi | ||
OTOLARYNGOLOGIC CLINICS\rOF NORTH AMERICA\r | xiii | ||
FORTHCOMING ISSUES | xiii | ||
December 2015 | xiii | ||
February 2016 | xiii | ||
April 2016 | xiii | ||
RECENT ISSUES | xiii | ||
August 2015 | xiii | ||
June 2015 | xiii | ||
April 2015 | xiii | ||
Preface\r | xv | ||
REFERENCES | xvi | ||
Pitfalls in Sinus Surgery | 725 | ||
Key points | 725 | ||
COMPLICATIONS OF SURGICAL THERAPY | 726 | ||
Orbital Complications | 726 | ||
Neurologic and Intracranial Complications | 730 | ||
Anosmia and Endoscopic Sinus Surgery | 731 | ||
Other Vascular Injuries | 732 | ||
COMPLICATIONS OF MEDICAL THERAPY | 732 | ||
Medicolegal Considerations | 733 | ||
SUMMARY | 734 | ||
REFERENCES | 735 | ||
Anatomy and Complications | 739 | ||
Key points | 739 | ||
INTRODUCTION OR OVERVIEW: NATURE OF THE PROBLEM | 739 | ||
SAFE SINUS SURGERY: SINUS ANATOMY | 739 | ||
Middle Turbinate | 740 | ||
Uncinate | 740 | ||
Maxillary Antrostomy | 741 | ||
Anterior Ethmoid | 742 | ||
Posterior Ethmoid | 743 | ||
Ethmoid Roof | 744 | ||
Sphenoid Sinus | 745 | ||
Frontal Sinus | 746 | ||
SUMMARY | 747 | ||
REFERENCES | 747 | ||
Orbital Complications Associated with the Treatment of Chronic Rhinosinusitis | 749 | ||
Key points | 749 | ||
INTRODUCTION | 749 | ||
INCIDENCE OF ORBITAL COMPLICATIONS IN ENDOSCOPIC SINUS SURGERY | 750 | ||
AVOIDANCE OF ORBITAL COMPLICATIONS | 750 | ||
Preoperative Planning | 750 | ||
Intraoperative Considerations | 751 | ||
Computed Tomographic Review | 751 | ||
Postoperative Considerations | 753 | ||
MANAGEMENT OF SPECIFIC ORBITAL INJURIES | 754 | ||
Nasolacrimal Duct Injury and Epiphora | 754 | ||
Orbital Penetration Due to Lamina Papyracea Breach | 755 | ||
Subcutaneous Emphysema and Ecchymosis | 756 | ||
Orbital Hematoma | 757 | ||
Orbital Hematoma Management in the Postoperative Period | 760 | ||
Extraocular Muscle Injury and Diplopia | 760 | ||
Blindness | 761 | ||
Hemorrhage, Stroke, and Death | 761 | ||
Infraorbital Nerve Numbness | 764 | ||
Cosmetic Deformity | 764 | ||
PHARMACOLOGIC COMPLICATIONS | 766 | ||
SUMMARY | 766 | ||
REFERENCES | 766 | ||
Neurologic Complications and Treatment | 769 | ||
Key points | 769 | ||
INTRODUCTION | 769 | ||
COMPLICATIONS | 769 | ||
Specific: Cerebrospinal Fluid Leak | 770 | ||
COMPLICATION AVOIDANCE | 771 | ||
COMPLICATIONS MANAGEMENT | 777 | ||
SUMMARY | 780 | ||
REFERENCES | 780 | ||
Hemorrhagic Complications of Endoscopic Sinus Surgery | 783 | ||
Key points | 783 | ||
INTRODUCTION | 783 | ||
VASCULAR ANATOMY OF THE NOSE AND SINUSES | 784 | ||
SETTING UP FOR SUCCESS | 788 | ||
Preoperative | 788 | ||
Intraoperative | 788 | ||
Postoperative | 790 | ||
SUMMARY | 791 | ||
REFERENCES | 791 | ||
Olfaction in Endoscopic Sinus and Skull Base Surgery | 795 | ||
Key points | 795 | ||
INTRODUCTION | 795 | ||
OLFACTION ANATOMY AND PHYSIOLOGY | 796 | ||
OLFACTORY TESTING | 796 | ||
CONDUCTIVE OLFACTORY LOSS | 797 | ||
INFLAMMATORY CHANGES TO THE OLFACTORY EPITHELIUM IN CHRONIC RHINOSINUSITIS | 798 | ||
IMPACT OF ENDOSCOPIC SINUS SURGERY ON OLFACTION IN CHRONIC RHINOSINUSITIS | 798 | ||
PERIOPERATIVE CONSIDERATIONS FOR OLFACTORY PRESERVATION DURING ENDOSCOPIC SINUS SURGERY FOR CHRONIC RHINOSINUSITIS | 799 | ||
PERIOPERATIVE CONSIDERATIONS IN THE ENDONASAL APPROACH TO THE SKULL BASE | 800 | ||
POSTOPERATIVE CONSIDERATIONS FOR SMELL LOSS | 801 | ||
SUMMARY | 801 | ||
REFERENCES | 802 | ||
Imaging of the Paranasal Sinuses | 805 | ||
Key points | 805 | ||
APPLICATION OF IMAGING TO REDUCE FUNCTIONAL ENDOSCOPIC SURGERY COMPLICATIONS | 806 | ||
Introduction | 806 | ||
Complications | 807 | ||
RADIOGRAPHIC EVALUATION OF COMPLICATIONS IN FUNCTIONAL ENDOSCOPIC SURGERY | 807 | ||
SUMMARY | 812 | ||
REFERENCES | 813 | ||
Medicolegal Implications of Common Rhinologic Medications | 817 | ||
Key points | 817 | ||
INTRODUCTION | 817 | ||
ANTIBIOTICS | 818 | ||
Complications of Antibiotic Use | 818 | ||
Allergy | 818 | ||
Antibiotic-associated diarrhea | 818 | ||
Fluoroquinolone-induced tendon damage | 819 | ||
Others | 820 | ||
CORTICOSTEROIDS | 820 | ||
Complications of Steroid Use | 820 | ||
NARCOTICS | 820 | ||
SCOPE OF LITIGATION | 821 | ||
INFORMED CONSENT IN THE PRESCRIPTION OF MEDICATIONS | 823 | ||
PREVENTING COMPLICATIONS AND LITIGATION | 824 | ||
SUMMARY | 825 | ||
REFERENCES | 825 | ||
Medicolegal Issues in Endoscopic Sinus Surgery and Complications | 827 | ||
Key points | 827 | ||
INTRODUCTION | 827 | ||
PREOPERATIVE | 827 | ||
OPERATIVE MEDICOLEGAL CONCERNS | 832 | ||
POSTOPERATIVE MEDICOLEGAL ISSUES | 836 | ||
SUMMARY | 837 | ||
REFERENCES | 837 | ||
Early Practice | 839 | ||
Key points | 839 | ||
INTRODUCTION | 839 | ||
MAXILLARY SINUS | 839 | ||
ETHMOID SINUS | 841 | ||
Frontal Recess | 844 | ||
FRONTAL SINUS | 844 | ||
Frontal Sinus Trephination | 844 | ||
Frontal Osteoplastic Flap | 846 | ||
SUMMARY | 849 | ||
REFERENCES | 850 | ||
Does Image-Guided Surgery Reduce Complications? | 851 | ||
Key points | 851 | ||
INTRODUCTION | 851 | ||
CURRENT TECHNOLOGY AND USE | 852 | ||
CURRENT APPLICATIONS OF TECHNOLOGY | 853 | ||
IMPACT ON THE SURGEON, SURGICAL APPROACH, AND DECISION MAKING | 854 | ||
REPORTED IMPACT ON COMPLICATIONS | 856 | ||
MEDICOLEGAL IMPLICATIONS | 856 | ||
SUMMARY | 857 | ||
REFERENCES | 857 | ||
Rare and Other Notable Complications in Endoscopic Sinus Surgery | 861 | ||
Key points | 861 | ||
INTRODUCTION | 861 | ||
RARE VASCULAR COMPLICATIONS | 862 | ||
Internal Carotid Artery Injury | 862 | ||
Sphenopalatine Pseudoaneurysm | 863 | ||
RARE ORBITAL COMPLICATIONS | 863 | ||
Sclerosing Lipogranuloma | 863 | ||
Rare Causes of Blindness | 864 | ||
RARE NEUROLOGIC COMPLICATIONS | 865 | ||
Peripheral Nerve Injury and Numbness | 865 | ||
Tension Pneumocephalus | 865 | ||
OTHER COMPLICATIONS | 865 | ||
Toxic Shock Syndrome | 865 | ||
Myospherulosis | 866 | ||
Secondary Atrophic Rhinitis and Empty Nose Syndrome | 866 | ||
MEDICAL AND CARDIOPULMONARY COMPLICATIONS | 866 | ||
Cardiac Spasm or Injury | 866 | ||
Pulmonary Embolism and Deep Vein Thrombosis | 866 | ||
Electrocardiographic Artifact with Microdebrider Use | 867 | ||
RARE BALLOON SINUPLASTY COMPLICATIONS | 867 | ||
SUMMARY | 867 | ||
REFERENCES | 867 | ||
Avoiding Complications in Endoscopic Sinus Surgery | 871 | ||
Key points | 871 | ||
INTRODUCTION | 871 | ||
RISK IDENTIFICATION AND COMPLICATION AVOIDANCE | 872 | ||
Preoperative Phase | 872 | ||
Intraoperative Phase | 874 | ||
Postoperative Phase | 878 | ||
SUMMARY | 878 | ||
REFERENCES | 879 | ||
Index | 883 |