Lessons Learned from Rhinologic Procedure Complications

1. Front Matter

   Pages i-xii

   PDF

2. The Orbit

   1. Front Matter

      Pages 1-1

      PDF

   2. Orbital Hematoma

      • Michael J. Marino, Devyani Lal

      Pages 3-11

   3. Management of Orbital Hematoma in Endoscopic Sinus Surgery

      • Charles C. L. Tong, James N. Palmer

      Pages 13-19

   4. Extraocular Muscle Injury

      • Brent A. Senior, Mark W. Gelpi

      Pages 21-27

   5. Lacrimal Injury During Endoscopic Sinus Surgery: Avoidance and Management

      • Daniel M. Beswick, Todd T. Kingdom

      Pages 29-34

   6. Orbital Complications: Nasolacrimal Duct Injury After Endoscopic Sinus Surgery

      • Dennis M. Tang, Raj Sindwani

      Pages 35-39

   7. Silent Sinus Syndrome

      • Ryan E. Little, Rodney J. Schlosser

      Pages 41-45

   8. Unusual Orbital Complications of Endoscopic Sinus Surgery

      • Meha G. Fox, Alexander Chiu

      Pages 47-50

   9. Brown Syndrome Following Endoscopic Modified Lothrop Procedure

      • Rodolfo Prestinary, Roy Casiano

      Pages 51-57

3. The Skull Base

   1. Front Matter

      Pages 59-59

      PDF

   2. Ethmoid CSF Cerebrospinal Fluid Leak

      • Tran B. Locke, Nithin D. Adappa

      Pages 61-68

   3. Sphenoid Cerebrospinal Fluid Leak

      • Jessica W. Grayson, Bradford A. Woodworth

      Pages 69-74

   4. Cerebrospinal Fluid Leak and Pneumocephalus after FESS

      • Katie Phillips, Jayakar V. Nayak

      Pages 75-83

   5. Tension Pneumocephalus

      • Megan Falls, Jonathan Ting

      Pages 85-91

   6. A Cerebrospinal Fluid Leak Following Endoscopic Resection of a Frontal Sinus Osteoma

      • Kevin C. Welch

      Pages 93-100

   7. Skull Base Injury and Intracranial Complication from Office Sinus Surgery

      • John M. DelGaudio, Jackson R. Vuncannon, Emily M. Barrow

      Pages 101-108

   8. Penetrating Skull Base Injury and Postoperative Infection

      • Nikita Chapurin, Rakesh K. Chandra

      Pages 109-115

4. Surgical Bleeding

   1. Front Matter

      Pages 117-117

      PDF

   2. Concentrated Epinephrine Use in the Operating Room

      • Seth J. Davis, Kyle S. Kimura, William G. Morrel, Raj D. Dedhia, Scott J. Stephan

      Pages 119-127

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.

• Orbital Hematoma
• Silent Sinus Syndrome
• CSF Leak
• Intracranial Injury
• The Anticoagulated Patient
• Ostial Stenosis
• Middle Tubinate Lateralization
• head and neck surgery

• Otolaryngology-Head & Neck Surgery, Vanderbilt University Medical Center, Nashville, USA

  Rakesh K. Chandra

• Otolaryngology-Head & Neck Surgery, Northwestern University/Northwestern Medicine, Chicago, USA

  Kevin C. Welch

Rakesh ChandraOtolaryngology-Head and Neck Surgery
Rhinology, Sinus, & Skull Base Surgery
Vanderbilt University Medical Center
Nashville, TN 37232
USA


Dr. Chandra is Professor and Division Chief for Rhinology & Skull Base Surgery at Vanderbilt University Medical Center, where he is holder of the Endowed Directorship in Leadership and Educational Development. He has served the American Rhinologic Society as Course Director for multiple CME conferences, and as a member of the society’s board. Dr. Chandra has served as Editor-in-Chief of the American Journal of Rhinology and Allergy and as an oral examiner for the American Board of Otolaryngology. He earned his undergraduate degree from Virginia Tech, Doctor of Medicine from the University of Maryland, and Masters in Business from Vanderbilt’s Owen Graduate School of Management. Dr. Chandra did his residency training at Northwestern University and a Fellowship in Rhinology & Skull Base Surgery at the University of Pennsylvania. He has over 150 peer reviewed publications.



Kevin C. Welch
Otolaryngology-Head and Neck Surgery
Northwestern University Feinberg School of Medicine
Chicago, IL 60611
USA


Dr. Welch is an Associate Professor of Otolaryngology at Northwestern University, Feinberg School of Medicine where he also serves as a member of the Physician Advocacy Group. He currently is the Treasurer and member of the Executive Committee of the American Rhinologic Society and former Course Director for multiple regional and international CME/Educational conferences. He is a Board Member of the International Forum of Allergy & Rhinology and serves as an Associate Editor for the journal as well. He earned his undergraduate degree from the University of Pennsylvania and his Doctor of Medicine from MCP-Hahnemann University School of Medicine. Dr. Welch completed his residency in Otolaryngology at the University of Maryland and his fellowship in Rhinology & Skull Base Surgery at the University of Pennsylvania.

Policies and ethics