Postoperative prevention and treatment of complications after sinus surgery.

Abstract

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 meticulous and careful surgical technique, the management of the postsurgical patient is instrumental to optimizing success following FESS. The reported complications following FESS can be classified broadly into immediate postoperative complications such as bleeding and crusting; short-term complications such as infection, synechiae formation, and turbinate lateralization; and long-term complications such as ostial stenosis, refractory disease, and disease recurrence. This article highlights currently available data for postsurgical management strategies and briefly discusses additional techniques and tools under development for managing these complications.

• Authors: Bruce K Tan, Rakesh K Chandra
• Journal: Otolaryngologic clinics of North America (Otolaryngol Clin North Am) Vol. 43 Issue 4 Pg. 769-79 (Aug 2010) ISSN: 1557-8259 [Electronic] United States
• PMID: 20599081 (Publication Type: Journal Article, Review)

Chemical References

• Anti-Bacterial Agents
• Antifungal Agents
• Cross-Linking Reagents
• FloSeal Matrix
• Glucocorticoids
• Hemostatics
• Mitomycin

Topics

• Anti-Bacterial Agents (therapeutic use)
• Antifungal Agents
• Cross-Linking Reagents (therapeutic use)
• Debridement
• Endoscopy (adverse effects)
• Gelatin Sponge, Absorbable (therapeutic use)
• Glucocorticoids (administration & dosage)
• Hemostasis, Surgical (methods)
• Hemostatics (therapeutic use)
• Humans
• Mitomycin (therapeutic use)
• Otorhinolaryngologic Surgical Procedures (adverse effects)
• Paranasal Sinus Diseases (surgery)
• Postoperative Complications (prevention & control)
• Postoperative Hemorrhage (prevention & control)
• Recurrence
• Rhinitis (surgery)
• Sinusitis (surgery)
• Stents
• Therapeutic Irrigation