Halderman Ashleigh A, Sindwani Raj, Woodard Troy D
Section of Rhinology, Sinus and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue/A71, Cleveland, OH 44195, USA.
Section of Rhinology, Sinus and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue/A71, Cleveland, OH 44195, USA.
Otolaryngol Clin North Am. 2015 Oct;48(5):783-93. doi: 10.1016/j.otc.2015.05.006.
Major complications during endoscopic sinus surgery are rare and occur in 0.36% to 3.1% of patients. Postoperative hemorrhage accounts for 23% to 39% of complications. Despite being rare, major hemorrhage can be serious for the patient. This article discusses hemorrhagic complications during and following endoscopic sinus surgery, focusing on a review of the surgical anatomy, common pitfalls to avoid, preventative measures, and management of certain catastrophic complications for which preparedness can mean the difference between life and death.
鼻内镜鼻窦手术的主要并发症很少见,发生率为0.36%至3.1%。术后出血占并发症的23%至39%。尽管很少见,但大出血对患者来说可能很严重。本文讨论鼻内镜鼻窦手术期间及术后的出血并发症,重点回顾手术解剖结构、需避免的常见失误、预防措施以及某些灾难性并发症的处理,对这些并发症做好准备可能意味着生死之别。