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Lessons Learned from Rhinologic Procedure Complications: A Case-Based Review

✍ Scribed by Rakesh K. Chandra (editor), Kevin C. Welch (editor)


Publisher
Springer
Year
2021
Tongue
English
Leaves
197
Category
Library

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✦ Synopsis


Despite meticulous attention to details and expert technique, complications resulting from rhinologic procedures can occur during one's professional career. This book discusses real-life complications and why these unfortunate events occur, as well as how best to manage the consequent issues. The text also provides thoughtful strategies to prevent such situations going forward. The book is organized as a series of case-based chapters, each illustrating a complication involving the orbit, the skull base, unexpected bleeding, poor healing, or those relating to intraoperative decision making, and how each was managed by the authors. Each chapter begins with bullet points highlighting key clinical pearls illustrated by that particular case. Written by leaders in the field with decades of experience in sino-nasal procedures, the analysis complements expert opinions with evidence-based published literature and shares experiences related to the most current techniques, devices, and instrumentation. Every otolaryngologist practicing rhinologic procedures will appreciate the candid nature of the discussion and will find enrichment in this shared wisdom.
Lessons Learned from Rhinologic Procedure Complications: A Case-Based Review serves practitioners of general otolaryngology as well as resident trainees in this field, explaining how best to identify, diagnose, and resolve a complication during rhinology procedures.

✦ Table of Contents


Foreword
Contents
Contributors
Part I: The Orbit
Chapter 1: Orbital Hematoma
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References
Chapter 2: Management of Orbital Hematoma in Endoscopic Sinus Surgery
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
Anatomy of the Orbit and the Anterior Ethmoid Artery
Intraoperative Management of Anterior Ethmoid Artery Injury
Summary
References
Chapter 3: Extraocular Muscle Injury
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References
Chapter 4: Lacrimal Injury During Endoscopic Sinus Surgery: Avoidance and Management
Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
Avoidance
Assessment and Management of NLD Injury
Conclusion
References
Chapter 5: Orbital Complications: Nasolacrimal Duct Injury After Endoscopic Sinus Surgery
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References
Chapter 6: Silent Sinus Syndrome
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References
Chapter 7: Unusual Orbital Complications of Endoscopic Sinus Surgery
Clinical Pearls
Case Presentations
Root Cause Analysis
Lessons Learned
References
Chapter 8: Brown Syndrome Following Endoscopic Modified Lothrop Procedure
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References
Part II: The Skull Base
Chapter 9: Ethmoid CSF Cerebrospinal Fluid Leak
Clinical Pearls
Case Presentation
Root Cause Analysis
Avoidance of Intraoperative CSF Leaks
Management of Intraoperative CSF Leaks
Lessons Learned
References
Chapter 10: Sphenoid Cerebrospinal Fluid Leak
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
Conclusion
References
Chapter 11: Cerebrospinal Fluid Leak and Pneumocephalus after FESS
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
Management of Iatrogenic Cerebrospinal Fluid Leak
How to Prevent Iatrogenic Skull Base Defects
References
Chapter 12: Tension Pneumocephalus
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References
Chapter 13: A Cerebrospinal Fluid Leak Following Endoscopic Resection of a Frontal Sinus Osteoma
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
Conclusions
References
Chapter 14: Skull Base Injury and Intracranial Complication from Office Sinus Surgery
Clinical Pearls
Case Report
Root Cause Analysis
Lessons Learned
In-Office Management of Sinonasal Disease
Balloon Sinus Ostial Dilation
Timely Identification and Repair of Skull Base Injury
Summary
References
Chapter 15: Penetrating Skull Base Injury and Postoperative Infection
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
Conclusion
References
Part III: Surgical Bleeding
Chapter 16: Concentrated Epinephrine Use in the Operating Room
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References
Chapter 17: Bleeding in FESS
Clinical Pearls
Case Report
Root Cause Analysis
Lessons Learned
Hemostatic Preoperative Planning
Hemostatic Surgical Field Preparation
Hemostatic Operative Techniques
Hemostatic Packing Considerations
References
Chapter 18: Sphenopalatine Artery Bleeding from Maxillary Mega-Antrostomy
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References
Chapter 19: Bleeding of the Anterior Ethmoid Artery
Clinical Pearls
Case Presentation
Root Cause Analysis
Prevalence
Prevention
Role of Preoperative Imaging
Radiologic Landmarks for AEA
Lessons Learned
Recognition and Localization
Treatment Algorithm
Bipolar Versus Monopolar Cautery
When Cautery Fails – Managing the Orbit?
Role of the Lateral Canthotomy/Cantholysis
Endoscopic Orbital Decompression
External Approach to the AEA for Control of Hemorrhage
References
Chapter 20: Carotid Artery Injury During Skull Base Surgery
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References
Part IV: Perioperative Management Related
Chapter 21: Complications Associated with Balloon Use
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
Complications in Balloon Catheter Dilation
References
Chapter 22: Middle Turbinate Lateralization
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References
Chapter 23: Nasal Septum Perforation and Inferior Turbinate Avulsion/Unilateral Empty Nose Syndrome Resulting from Management of Recurrent Epistaxis
Clinical Pearls
Case Presentation
Root Cause Analysis
Lessons Learned
References
Chapter 24: Stent Complications
Clinical Pearls
Case Presentation
Root Cause Analysis
Local Reaction and Hypersensitivity
Stent Infection
Intracranial and Orbital Stent Placement
Lessons Learned
References
Index


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