GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery 2013, Vol. 12, ISSN 1865-1011
Danger points, complications and medico-legal aspects in endoscopic sinus surgery
Werner Hosemann, C. Draf
Department of Otorhinolaryngology, Head and Neck Surgery, University of Greifswald, Germany
Table 1
Localization / Type of Injury |
"Minor" Complication |
"Major" Complication |
orbita eye . optical nerve . optical muscle . nerves in orbita |
4.1 Damage of the lamina papyracea orbital emphysema (Lufteintritt), preseptal bleeding beneath the skin of the eyelid . . . . 4.7 Nerve injuries - infraorbital nerve, alveolar nerve |
5.1 Orbital haematoma Retrobulbar hematoma . 5.3 Reduced vision, visual field defects 5.4 Diplopia 5.5 enophthalmos (Zurückziehen des Augapfels) 5.6 Lacrimal duct injury complications in dacryocystorhinostomy |
mucosa |
4.2 Uncomplicated bleeding of the mucosa |
|
CSF Intracranial |
4.3 Uncomplicated liquorrhea (e.g. thru fistulae) ... can lead to major complications -> |
5.7 Skull base injury, tension pneumocephalus, encephalocele (Nach-Außen-Wölben von Hirnteilen) 5.8 Meningitis, brain abscess, intracranial haemorrhage 5.9 Direct mechanical cerebral trauma, severe combined injuries |
maxillary sinus middle meatus middle turbinate olfactory mucosa |
4.4 Synechiae [συν - εχειν], "missed ostium sequence", unstable middle turbinate with lateralisation . |
. . . 5.11 Anosmia |
olfactory region |
4.5 Hyposmia |
|
|
4.6 Atrophic rhinits |
|
Bleeding |
|
5.2 Injury of (*) anterior ethmoidal artery (*) posterior ethmoidal artery (*) sphenopalatine artery (*) internal carotid artery |
Version: 5.1.2018
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