Document Detail


Postoperative prevention and treatment of complications after sinus surgery.
MedLine Citation:
PMID:  20599081     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Functional endoscopic sinus surgery (FESS) is currently the most effective treatment for chronic sinusitis refractory to medical therapy, with symptomatic improvements reported by approximately 90% of patients. In addition to meticulous and careful surgical technique, the management of the postsurgical patient is instrumental to optimizing success following FESS. The reported complications following FESS can be classified broadly into immediate postoperative complications such as bleeding and crusting; short-term complications such as infection, synechiae formation, and turbinate lateralization; and long-term complications such as ostial stenosis, refractory disease, and disease recurrence. This article highlights currently available data for postsurgical management strategies and briefly discusses additional techniques and tools under development for managing these complications.
Authors:
Bruce K Tan; Rakesh K Chandra
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Otolaryngologic clinics of North America     Volume:  43     ISSN:  1557-8259     ISO Abbreviation:  Otolaryngol. Clin. North Am.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-05     Completed Date:  2010-10-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0144042     Medline TA:  Otolaryngol Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  769-79     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology - Head and Neck Surgery, Northwestern University, Feinberg School of Medicine, 676 North Street Clair, Suite 1325, Chicago, IL 60611, USA.
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / therapeutic use
Antifungal Agents
Cross-Linking Reagents / therapeutic use
Debridement
Endoscopy / adverse effects*
Gelatin Sponge, Absorbable / therapeutic use
Glucocorticoids / administration & dosage
Hemostasis, Surgical / methods
Hemostatics / therapeutic use
Humans
Irrigation
Mitomycin / therapeutic use
Otorhinolaryngologic Surgical Procedures / adverse effects*
Paranasal Sinus Diseases / surgery*
Postoperative Complications / prevention & control
Postoperative Hemorrhage / prevention & control
Recurrence
Rhinitis / surgery*
Sinusitis / surgery*
Stents
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Antifungal Agents; 0/Cross-Linking Reagents; 0/FloSeal Matrix; 0/Glucocorticoids; 0/Hemostatics; 50-07-7/Mitomycin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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