[Complications of endoscopic nasal and sinus surgery: experience in 150 patients].

Revista medica del Instituto Mexicano del Seguro Social

PubMedID: 24758849

Vargas-Aguayo AM, Copado-Ceballos RE, Vivar-Acevedo E, Waizel-Haiat S, Contreras-Herrera R, Desentis-Vargas E. [Complications of endoscopic nasal and sinus surgery: experience in 150 patients]. Rev Med Inst Mex Seguro Soc. 2014;52(2):134-7.
BACKGROUND
Endoscopic nasal and sinus surgery has been used greatly for the treatment of inflammatory and neoplasm pathology, as well as for the approach of the extrasinus structures. Although it has proven to be a very successful method, it is not exempt of complications. Our objective was to identify the frequency of complications in patients with sinus and nasal pathology that underwent an endoscopic surgery of the nose and sinuses.

METHODS
A total of 150 patients who underwent endoscopic sinus surgery, 75 women and 75 men, in a specialties hospital of the Instituto Mexicano del Seguro Social (IMSS). The type of pathology, surgical technique done, major and minor adverse event presented were recorded.

RESULTS
We observed an overall complication rate of 18 %: 2.7 % corresponded to major, and 15.3 % to minor. The main pathologies were chronic rhinosinusitis without polyps (24.7 %) and sinus nasal tumors (22 %).

CONCLUSIONS
The overall complications and the major rates were similar to those reported in the literature. On the other hand, the minor adverse events were slightly higher. Still, endoscopic surgery has become a safe surgical treatment option.