Advanced E.S.S & Complications

AdvancedAdvancedE.S.SE.S.S

&& Complications Complications

M.H. Baradaranfar M.DM.H. Baradaranfar M.D

professor of otolaryngologyprofessor of otolaryngology

Head & Neck surgeryHead & Neck surgery

Advanced E.S.SAdvanced E.S.S

1.1. Endoscopic resection of tumorsEndoscopic resection of tumors

2.2. Endoscopic orbital decompressionEndoscopic orbital decompression

3.3. Endoscopic optic nerve decompressionEndoscopic optic nerve decompression

4.4. Endoscopic repaire of C.S.F leakEndoscopic repaire of C.S.F leak

5.5. Endoscopic treatment of epistaxisEndoscopic treatment of epistaxis

6.6. Endoscopic DCREndoscopic DCR

7.7. Endoscopic resection of mucocele Endoscopic resection of mucocele

MajorMajor

• Orbital hematomaOrbital hematoma• Loss of visionLoss of vision• DiplopiaDiplopia• CSF leakCSF leak• EpistaxisEpistaxis• Carotid artery injuryCarotid artery injury• EpiphoraEpiphora• Brain hemorrhage Brain hemorrhage

(abscess)(abscess)• Meningitis Meningitis • Toxic shock syndrome• BlindnessBlindness• Death Death

MinorMinor• Periorbital emphysema Periorbital emphysema

(N.T)(N.T)• Periorbital ecchymosis Periorbital ecchymosis

(N.T)(N.T)• Dental & lip pain or Dental & lip pain or

numbnessnumbness• Adhesion (T)Adhesion (T)• Epistaxis (T)Epistaxis (T)• Bronchospasm (T)Bronchospasm (T)• Sinus infection (T)Sinus infection (T)• Atrophie rhintisAtrophie rhintis• AnosmiaAnosmia• Myospherulosis Myospherulosis

Complications Complications

Bleeding Bleeding

• Operative B.Operative B.

• Postoperative B.Postoperative B.

• Carotid artery injury Carotid artery injury

Periorbital emphysemaPeriorbital emphysema

Periorbital ecchymosis Periorbital ecchymosis

Synechia Synechia

Orbital hematoma Orbital hematoma

CSF leak CSF leak

Optic nerve injuryOptic nerve injury(Blindness) (Blindness)

Orbital injuryOrbital injurydiplopia diplopia

Lacrimal injury Lacrimal injury