Prevention and management of complications in sphenoidotomy

Carl W. Moeller, Kevin C. Welch*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)839-854
Number of pages16
JournalOtolaryngologic Clinics of North America
Issue number4
StatePublished - Aug 2010


  • Endoscopic sphenoidotomy
  • Sinus surgery
  • Sphenoid sinus
  • Surgical complications

ASJC Scopus subject areas

  • Otorhinolaryngology


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