xRead - Nasal Obstruction (September 2024) Full Articles

20426984, 2021, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1002/alr.22741 by Stanford University, Wiley Online Library on [01/07/2024]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License

635

Orlandi et al.

Middle turbinate lateralization is not associated with patient-reported

lateralization after ESS symptoms however may be correlated with earlier need for revision surgery. Siedek 99 2013 4 Retrospective study 2596 ARS & CRS patients Evaluate complication rates of ESS 3.1% minor complications (bleeding, lamina papyracea violation) 0.9% major complication (severe bleeding, CSF leak Thacker 2285 2005 4 Retrospective Chart Review 14 patients with Characterize ocular muscles injured in

strabismus after ESS Medial, inferior, and/or superior oblique muscles were involved. Use of microdebrider resulted in more extensive muscle damage. Alam 2283 2018 5 Case Report/Series Patients undergoing balloon sinus dilation forCRS Review orbital and intracranial complications of balloon system dilation/power ESS and correlate it to factors in surgical procedure

Stankiewicz 2282 2002 5 Review/Expert Opinion Patients undergoing When using microdebrider, surgeon should be aware of location within the sinuses and point the suction/cutting side away from vital structures Ohnishi 2278 1993 5 Expert Opinion 188 CRS patients; 2 papilloma Identify high-risks areas within the paranasal sinuses sinus surgery Use of microdebrider can lead to complications due to high-suction pressure

Most common complications were hemorrhage, orbital complications, and CSF leak

Risk factors: age, revision surgery, nasal polyps, anatomic variation, extensive

disease, overall health, medication, use of powered instrumentation

Appropriate patient selection, thorough knowledge of anatomy, and use of sound surgical techniques are necessary to avoid significant

complications with balloon dilation and powered instrumentation

High risk areas within ethmoid sinuses: lamina papyracea, ethmoid roof near anterior ethmoid and posterior

ethmoid, lateral lamella, area between sphenoid and posterior ethmoid sinuses

Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions

0.04% serious complication (meningitis)

significance of middle turbinate

Stankiewicz 102 2011 3 Retrospective study 3,402 CRS pts Review complications of ESS by single surgeon

dissector-assisted balloon dilation

Investigate clinical

undergoing ESS

151 CRS patients

Bassiouni 2288 2015 4 Retrospective chart review

TABLE XII-27 (Continued)