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FESS Complications
Proper surgical preparation,conducting
several courses and planning is the key
for safe sinus surgery
FESS Complications
Sinus surgery is currently number one
area of litigation in otolaryngology .
Informed consent
Each patient should be informed of the risks which include:
hemorrahge
blindness
CSF leak
double vision
loss of smell
Anaesthesia problems
Need of revision
Otol.clinic of north
american,1989
FESS Complications
In experienced hands ,major
complications
associated with
FESS may
include ICH,CSF
leak,blindenss,diplopia
and
severe hemrrahge
Otolaryngology ,head and neck surgery,1993
FESS Complications
FESS Complications
Wright A.(1995) has suggested
that puplication of standard list of
recognized
complications
for
properly performed procedures
would be beneficial
FESS Complications
It is the responsibility of the doctor
to warn of serious consequences
of procedures even if happen only
rarely .
FESS Complications
FESS Complications
Mosher
famously
described
intranasal
ethmoidectomy as the easiest way to kill a
patient
Clin.otolaryngol.2001
FESS Complications
May et al,(1994) performed metaanalysis which included 2108
patient
underwent
FESS,they
found 0.85% incidence of major
complications in their series.
FESS Complications
The last nationwide estimate of major
complication rates in UK in 1993 was
0.23%.
Since that survey an average of one
patient a year has suffered permanent
blindness
Clin.Otolaryngol,1994
FESS Complications
The
availability
of
image-guided
surgical
navigation
is
welcomed
technology in tertiary care hospital
setting
The navigation protocol is a major
concern in patients with The potential
for major complications or incompletely
performed revision surgery .
(american J.Rhinology,1999)
FESS Complications
The
benefit
of
intraoperative
identification of surgical landmarks and
three-plane CT image confirmation is
intuitive.
The immediate feedback between
endscopic and CT is an excellent
anatomic teaching tool in a residency
trainig program.
(American J.Rhinology,1999)
Thank you
Prof. Bafaqeeh