Clinical Analysis for Complications after Endoscopic Sinus Surgery in Korea during Past 7 Years / 대한이비인후과학회지

ABSTRACT

BACKGROUND: Based on the work of Messerklinger, endoscopic sinus surgery(ESS) has become popular during recent years. Many reports on the technique of, indications for, and results of ESS have been published. Few reports are devoted exclusively to the complications of ESS in Korea. OBJECTIVES: In this paper, the complications of ESS in Korea and the findings and prevention of complications are discussed through early recognition and appropriate management. MATERIALS AND METHODS: A retrospective study about the complications of ESS was done on 42 hospitals from 1988 to 1995 in Korea. The incidence of complications of ESS in Korea(total 31,012 cases) is compared to complications in three other series of patients(total 2,165 cases) who underwent ESS in foreign contries and three series of patients(total 2,454 cases) who underwent conventional endonasal sinus surgery. RESULTS: Major complications occurred in 0.04% and major bleeding was the commonest. Minor complications occurred in 22.54% and were related to recurrent inflammatory symptom and midddle turbinate adhesions. CONCLUSIONS: There are some differences in incidence of each complications according to surgical approach. In major complications, the incidence of intracranial and orbital complication with the conventional endonasal sinus surgery approach was higher than that of endoscopic approach. Another difference is that adhesions do not occur with the conventional approach because middle turbinate is routinely removed. The incidence of recurrent symptoms was highest with ESS in Korea. We discuss complications of the procedures and the related factors to complications.