Prevention of complications during ethmoid sinus surgery begins with sound knowledge of the relevant anatomy, preoperative planning with use of radiologic imaging, and careful, thoughtful dissection intraoperatively. Despite these measures,…
Orbital hematoma is an uncommon but serious complication of sinus surgery. Appropriate perioperative attention may minimize risk, but early diagnosis and appropriate management are crucial to preventing vision loss. The…
In the past 2 decades, endoscopic sinus surgery has been widely used as a safe and effective treatment for disorders of the paranasal sinuses that are refractory to medical therapy….
Medial rectus injury is an uncommon but often devastating complication of functional endoscopic sinus surgery. Prevention of these types of injuries is predicated on a thorough preoperative assessment of the…
Skull base defects and injuries are rare, but may occur during endoscopic sinus surgery, as a result of facial trauma, or as a result of tumors in the anterior cranial…
Due to the proximity of the lacrimal duct and sac to the uncinate process, occult injury to the lacrimal drainage system is common during uncinectomy and maxillary antrostomy. Fortunately, these…
Functional endoscopic sinus surgery (FESS) is currently the most effective treatment for chronic sinusitis refractory to medical therapy, with symptomatic improvements reported by approximately 90% of patients. In addition to…
There are many approaches to obtaining a workable endoscopic surgical field in sinus surgery. With extended sinus and transdural endoscopic surgery, a more rigid approach must be taken. There are…
Corticosteroids are widely used in otolaryngology to treat many disorders; however, the nature and extent of possible complications may not be completely understood. A comprehensive review of the physiology of…
Anatomic abnormalities in the paranasal sinuses and skull base are not uncommon. Awareness of these abnormalities may be of assistance in pre-operative planning. This content presents a template-driven approach to…
