Ten pearls for safe endoscopic sinus surgery

Endoscopic sinus surgery is an excellent treatment option in the management of medically refractory chronic rhinosinusitis. Continual refinements in endoscopic technique are simultaneously allowing an expanded range of applications and a lower rate of complications for this kind of surgery. However,...

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Bibliographic Details
Published inOtolaryngologic clinics of North America Vol. 43; no. 4; p. 933
Main Authors Tewfik, Marc A, Wormald, Peter-John
Format Journal Article
LanguageEnglish
Published United States 01.08.2010
Subjects
Chronic Disease
Debridement - methods
Endoscopy - adverse effects
Hemostasis, Surgical
Humans
Medical Errors - prevention & control
Otorhinolaryngologic Surgical Procedures - adverse effects
Otorhinolaryngologic Surgical Procedures - methods
Paranasal Sinus Diseases - diagnostic imaging
Paranasal Sinus Diseases - surgery
Paranasal Sinuses - surgery
Rhinitis - surgery
Sinusitis - surgery
Surgery, Computer-Assisted
Tomography, X-Ray Computed
Trephining
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Summary:Endoscopic sinus surgery is an excellent treatment option in the management of medically refractory chronic rhinosinusitis. Continual refinements in endoscopic technique are simultaneously allowing an expanded range of applications and a lower rate of complications for this kind of surgery. However, the potential for serious complications is ever present. The sinus surgeon must always be aware of this, and actively seek to identify high-risk situations preoperatively. The technical points presented in this article should be followed to minimize the risk of complications.
ISSN:1557-8259
DOI:10.1016/j.otc.2010.04.017