RT Journal Article
SR Electronic
T1 Complications of endoscopic sinus surgery for chronic rhinosinusitis in a tertiary care teaching hospital in Saudi Arabia
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 601
OP 606
DO 10.15537/smj.2023.44.6.20230911
VO 44
IS 6
A1 Alharbi, Abdulmajeed
A1 Alhussain, Fahad
A1 Alyamani, Abduljabbar
A1 Aljohani, Majed
A1 Alsergani, Abdullah
A1 AbaAlkhail, Mashal
A1 Alsayed, Ahmed
A1 Aloulah, Mohammad
A1 Alrasheed, Abdulaziz
A1 Aldousary, Surayie
A1 Alromaih, Saud
A1 Alroqi, Ahmad
A1 Alsaleh, Saad
YR 2023
UL http://smj.org.sa/content/44/6/601.abstract
AB Objectives: To determine the incidence of complications of endoscopic sinus surgery (ESS) and to investigate the factors associated with the occurrence of complications.Methods: In this retrospective study, we reviewed the medical records of all patients who had undergone ESS at King Saud University Medical City (KSUMC) between January 2015 and March 2022. Patients who underwent ESS for complicated acute sinusitis, sinonasal malignancy, and cerebrospinal fluid leak repair, and those who underwent extended ESS for indications other than chronic rhinosinusitis were excluded. This study was approved by the KSUMC Institutional Review Board.Results: We included 1395 patients, 3 of whom had major complications and 28 had minor complications, resulting in an overall major complication rate of 0.2% and a minor complication rate of 2%. The most common major complication was orbital hematoma, and the most common minor complication was synechia. Moreover, the duration of surgery and laterality increased the risk of complications, whereas the use of image guidance had no effect.Conclusion: Endoscopic sinus surgery is a safe procedure. The operative start time and laterality were associated with an increased risk of complications and warrant further investigation.