TY - JOUR
T1 - Intraoperative Emergencies During Endoscopic Sinus Surgery
T2 - CSF Leak and Orbital Hematoma
AU - Welch, Kevin C.
AU - Palmer, James N.
PY - 2008/6
Y1 - 2008/6
N2 - Among the several risks encountered in endoscopic sinus surgery, catastrophic orbital bleeding and iatrogenic cerebrospinal fluid leak are the two serious complications surgeons most fear. This article discusses these avoidable complications and provides treatment algorithms for intraoperative maneuvers. A thorough understanding of the anatomy of the paranasal sinuses and their relationships with the anterior skull base, appropriate preoperative planning, and meticulous surgical technique are essential for preventing intraoperative cerebrospinal fluid leaks. Intraoperative orbital hematoma is discussed and a stepwise approach to reduce complications is provided.
AB - Among the several risks encountered in endoscopic sinus surgery, catastrophic orbital bleeding and iatrogenic cerebrospinal fluid leak are the two serious complications surgeons most fear. This article discusses these avoidable complications and provides treatment algorithms for intraoperative maneuvers. A thorough understanding of the anatomy of the paranasal sinuses and their relationships with the anterior skull base, appropriate preoperative planning, and meticulous surgical technique are essential for preventing intraoperative cerebrospinal fluid leaks. Intraoperative orbital hematoma is discussed and a stepwise approach to reduce complications is provided.
UR - http://www.scopus.com/inward/record.url?scp=43049131136&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=43049131136&partnerID=8YFLogxK
U2 - 10.1016/j.otc.2008.01.005
DO - 10.1016/j.otc.2008.01.005
M3 - Review article
C2 - 18436000
AN - SCOPUS:43049131136
SN - 0030-6665
VL - 41
SP - 581
EP - 596
JO - Otolaryngologic Clinics of North America
JF - Otolaryngologic Clinics of North America
IS - 3
ER -