Complications of endoscopic sinus surgery

الملخص EN

Endoscopic sinus surgery (ESS) is obtained to restore paranasal sinus function which usually will lead to reestablishing the physiologic pattern of ventilation and muco-ciliary clearance.

To evaluate the complication of endoscopic sinus surgery (ESS) after management of different sinonasal diseases and how to deal with these complications ninety patients with different sinonasal diseases who were underwent functional endoscopic sinus surgery were seen and evaluated in department of otolaryngology.

They had been submitted to clinical and endoscopic examination of the nose.

All patients had a coronal and axial CTscan preoperatively, and all procedures were performed under general anesthesia.

The extent of surgery was mainly decided depending on the findings in pre-operative CT scan of paranasal sinuses.

The main presenting symptoms of patients were nasal obstruction (71.

1%), anterior nasal discharge (65.

5 %), facial pain (63.

3 %), headache (55.

5 %), postnasal drip (50 %) & hyposmia/anosmia (31.

1 %).

Most of the patients have got partial or complete symptomatic relief.

The minor complications of endoscopic sinus surgery occurred in 18 cases (19.

97 %) which include adhesions (11.

1 %), minor epistaxis (5.55%), periorbital ecchymosis (2.

22 %) & infection (1.

1 %).

Major complications occurred in 6 cases (4.

27 %) which was Major epistaxis (2.

22 %), CSF leakage (2.

22 %), Meningitis (1.

1 %) Pneumocephalus (1.

1 %).

It was concluded that endoscopic sinus surgery (ESS) is an efficient method for treating different sinonasal diseases and can be performed with success rate to alleviate symptoms with less morbidity especially when there is good clinical and preoperative CT scan assessment with endoscopic sinus surgery training courses and proper hypotensive anaesthesia and good postoperative care