BookRakesh K. Chandra, Kevin C. Welch, editors.
Summary: Despite meticulous attention to details and expert technique, complications resulting from rhinologic procedures can occur doing one's professional career. This book discusses real-life complications and why these unfortunate events occurred, as well as how best to manage the consequent issues. The text also provides thoughtful strategies to prevent such situations going forward. The book is organized as a series of case-based chapters, each illustrating a complication involving the orbit, the skull base, unexpected bleeding, poor healing, or those relating to intraoperative decision making, and how each was managed by the authors. Each chapter begins with bullet points highlighting key clinical pearls illustrated by that particular case. Written by leaders in the field with decades of experience in sino-nasal procedures, the analysis complements expert opinions with evidence-based published literature and shares experiences related to the most current techniques, devices, and instrumentation. Every otolaryngologist practicing rhinologic procedures will appreciate the candid nature of the discussion and will find enrichment in this shared wisdom. Lessons Learned from Rhinologic Procedure Complications: A Case-Based Review serves practitioners of general otolaryngology as well as resident trainees in this field, explaining how best to identify, diagnose, and resolve a complication during rhinology procedures.
Contents:
Intro
Foreword
Contents
Contributors
Part I: The Orbit
Chapter 1: Orbital Hematoma
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References
Chapter 2: Management of Orbital Hematoma in Endoscopic Sinus Surgery
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
Anatomy of the Orbit and the Anterior Ethmoid Artery
Intraoperative Management of Anterior Ethmoid Artery Injury
Summary
References
Chapter 3: Extraocular Muscle Injury
Clinical Pearls
Case Presentation
Root Cause Analysis Lessons Learned
References
Chapter 4: Lacrimal Injury During Endoscopic Sinus Surgery: Avoidance and Management
Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
Avoidance
Assessment and Management of NLD Injury
Conclusion
References
Chapter 5: Orbital Complications: Nasolacrimal Duct Injury After Endoscopic Sinus Surgery
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References
Chapter 6: Silent Sinus Syndrome
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References Chapter 7: Unusual Orbital Complications of Endoscopic Sinus Surgery
Clinical Pearls
Case Presentations
Root Cause Analysis
Lessons Learned
References
Chapter 8: Brown Syndrome Following Endoscopic Modified Lothrop Procedure
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References
Part II: The Skull Base
Chapter 9: Ethmoid CSF Cerebrospinal Fluid Leak
Clinical Pearls
Case Presentation
Root Cause Analysis
Avoidance of Intraoperative CSF Leaks
Management of Intraoperative CSF Leaks
Lessons Learned
References Chapter 10: Sphenoid Cerebrospinal Fluid Leak
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
Conclusion
References
Chapter 11: Cerebrospinal Fluid Leak and Pneumocephalus after FESS
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
Management of Iatrogenic Cerebrospinal Fluid Leak
How to Prevent Iatrogenic Skull Base Defects
References
Chapter 12: Tension Pneumocephalus
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References Chapter 13: A Cerebrospinal Fluid Leak Following Endoscopic Resection of a Frontal Sinus Osteoma
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
Conclusions
References
Chapter 14: Skull Base Injury and Intracranial Complication from Office Sinus Surgery
Clinical Pearls
Case Report
Root Cause Analysis
Lessons Learned
In-Office Management of Sinonasal Disease
Balloon Sinus Ostial Dilation
Timely Identification and Repair of Skull Base Injury
Summary
References