Complications and Outcomes of Functional Endoscopic Sinus Surgery

A Comprehensive Guide to the Literature for Personal Injury Lawyers

Publisher: Medifocus Legal
Publication Date: October 10, 2021
Number of Pages: 135
Chronic sinusitis is a prolonged infection and inflammation of the tissues lining the nose and sinuses. Symptoms of chronic sinusitis include facial pressure, nasal congestion, nasal discharge, and post-nasal drip. In patients with chronic sinusitis, the sinuses are unable to adequately drain secretions because of severe inflammation and swelling of the tissues lining the nasal and sinus passages. Consequently, as the nasal secretions accumulate, they become trapped in the sinuses and lead to persistent or recurring infections.

Although in a majority of individuals the symptoms of chronic sinusitis can be controlled with medications, about 15% of patients continue to suffer from either persistent or recurring infections. For these patients, functional endoscopic sinus surgery (FESS) may be an effective alternative treatment option. The goal of FESS is to eliminate the chronic nidus of infection by surgically removing the thin bone and mucous membranes that block the drainage channels of the sinuses. The procedure is performed with the aid of small fiberoptic telescopes (endoscopes) that are passed through the nostrils, and, thereby, eliminate the need for any open skin incisions.

Although FESS is considered to be a safe and effective treatment for chronic sinusitis, it is not totally without risk. Complication rates of up-to 30% were reported in the literature shortly after the FESS technique was introduced in the United States in 1984. Since that time, however, improvements in instrumentation, technique, and surgeon experience have significantly reduced the incidence of complications, which is currently estimated to be under 2%. Major complications of FESS reported in the medical literature include hemorrhage, cerebrospinal fluid (CSF) leak, meningitis, and injury to the orbit or the optic nerve.

A study published in 2015 in the Journal of Otolaryngology Head and Neck Surgery analyzed 26 malpractice cases filed by patients who underwent FESS. Most of these malpractice claims were filed in relation to alleged negligent technique or alleged lack of informed consent. The most common injuries included orbital trauma, nasal obstruction, meningitis, and CSF leaks. Defendants prevailed in 72% of these cases. In cases won by plaintiffs, the mean award was $225,000 and the mean settlement was $212,500.

The MediFocus Literature Guide to Complications and Outcomes of Functional Endoscopic Sinus Surgery captures the clinically relevant articles published over the past 20 years in peer-reviewed medical journals and focuses on the outcomes and complications of this intricate surgical procedure. This unique Literature Guide consists of over 180 hand-picked articles with links to the Abstracts and includes online access to the free full-text version of 16 articles. The Guide also includes a valuable Author Directory for quickly identifying and locating medical authorities with specific expertise in FESS for case evaluation and expert testimony.

Complications and Outcomes of Functional Endoscopic Sinus Surgery is a one-of-a-kind literature reference Guide that includes:

  • A comprehensive bibliography of 179 journal article references indexed in MEDLINE published in well respected medical and scientific journals.
  • Online access to the abstracts (summaries) of the articles.
  • Online access to the free full-text version of 16 articles.
  • Links to full-text sources of other articles that are available for purchase directly from individual journal publishers.
  • A unique "Author Directory" consisting of the names and institutional affiliations of experts who have published and have specialized knowledge about Complications and Outcomes of Functional Endoscopic Sinus Surgery. The "Author Directory" is a valuable resource for quickly identifying and locating experts for case reviews, opinions, and testimony.

Select examples of topics that are covered by the articles referenced in this Guidebook include:

  • Effect of Functional Endoscopic Sinus Surgery on Outcomes in Chronic Rhinosinusitis.
  • Outcomes and Complications of Balloon and Conventional Functional Endoscopic Sinus Surgery.
  • Occurrence of occult CSF leaks during standard FESS procedures.
  • Training and assessment in functional endoscopic sinus surgery.
  • Neurologic sequelae associated with delayed identification of iatrogenic skull base injury during endoscopic sinus surgery (ESS).
  • Informed consent in functional endoscopic sinus surgery.
  • Postoperative prevention and treatment of complications after sinus surgery.
  • Quality of life outcomes after functional endoscopic sinus surgery.
  • Bleeding risk associated with resection of the middle turbinate during functional endoscopic sinus surgery.
  • Medicolegal Issues in Endoscopic Sinus Surgery and Complications.
  • Pitfalls in Sinus Surgery: An Overview of Complications.
  • Imaging of the Paranasal Sinuses: Mitigation, Identification, and Workup of Functional Endoscopic Surgery Complications.
  • Complication rates after functional endoscopic sinus surgery: analysis of 50,734 Japanese patients.
  • Complications of primary and revision functional endoscopic sinus surgery for chronic rhinosinusitis.
  • Risks and medico-legal aspects of endoscopic sinus surgery: a review.
  • Determining legal responsibility in otolaryngology: a review of 44 trials since 2008.
  • Evidence-based practice: postoperative care in endoscopic sinus surgery.
  • Risk factors for complications of endoscopic sinus surgery for chronic rhinosinusitis.
  • Smoking and endoscopic sinus surgery: does smoking volume contribute to clinical outcome?
  • Malpractice claims in nasal and sinus surgery: a review of 15 cases.
The MediFocus Literature Guide on Complications and Outcomes of Functional Endoscopic Sinus Surgery
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