TY - JOUR
T1 - Prevention and management of complications in sphenoidotomy
AU - Moeller, Carl W.
AU - Welch, Kevin C.
PY - 2010/8
Y1 - 2010/8
N2 - Endoscopic sphenoidotomy is a common surgical procedure that often accompanies routine sinus surgery. Safe completion of a sphenoidotomy depends on a thorough understanding of the surrounding anatomy, reviewing preoperative imaging, and maintaining intraoperative orientation. Intraoperative complications include local hemorrhage, catastrophic hemorrhage caused by internal carotid injury, optic nerve injury, and CSF leak. Postoperative complications tend to be less severe and include postoperative stenosis and mucocele formation. Regarding surgery of the sphenoid sinuses, the best management of complications truly is prevention, making pre- and intraoperative vigilance vital to a successful outcome.
AB - Endoscopic sphenoidotomy is a common surgical procedure that often accompanies routine sinus surgery. Safe completion of a sphenoidotomy depends on a thorough understanding of the surrounding anatomy, reviewing preoperative imaging, and maintaining intraoperative orientation. Intraoperative complications include local hemorrhage, catastrophic hemorrhage caused by internal carotid injury, optic nerve injury, and CSF leak. Postoperative complications tend to be less severe and include postoperative stenosis and mucocele formation. Regarding surgery of the sphenoid sinuses, the best management of complications truly is prevention, making pre- and intraoperative vigilance vital to a successful outcome.
KW - Endoscopic sphenoidotomy
KW - Sinus surgery
KW - Sphenoid sinus
KW - Surgical complications
UR - http://www.scopus.com/inward/record.url?scp=77954194224&partnerID=8YFLogxK
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U2 - 10.1016/j.otc.2010.04.009
DO - 10.1016/j.otc.2010.04.009
M3 - Review article
C2 - 20599088
AN - SCOPUS:77954194224
VL - 43
SP - 839
EP - 854
JO - Otolaryngologic Clinics of North America
JF - Otolaryngologic Clinics of North America
SN - 0030-6665
IS - 4
ER -