Complications and Risk Factors for Eye in Adult Patients Undergoing Functional Endoscopic Sinus Surgery for Chronic Rhinosinusitis

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Published Sep 30, 2023
https://doi.org/10.70436/nuijb.v2i03.63
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Vol. 2 No. 03 (2023): September

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Abdul Azeem Rasouli
Ghulam Farooq Rahimi
Aimal Hameedi
Abdul Basir Safi
Dyamely Zhaisakova

Abstract

‌Background: Functional endoscopic sinus surgery (FESS) is commonly performed for the treatment of chronic rhinosinusitis.  While FESS has proven to be effective in relieving symptoms and improving the quality of life, it is not without complications. One area of concern is the risk of eye-related complications during and after the surgery. This study aimed to analyze eye-related complications of FESS after primary and revision surgery for chronic rhinosinusitis (CRS) and to identify factors associated with the occurrence of eye-related complications.
Materials and Methods: This study was designed as descriptive. Adults who underwent FESS from 1/1/2019 to 30/12/2020 were study subjects with the diagnosis of CRS.  Patients were divided into four groups according to the extent of surgery.
Findings: Of the 1,371 patients who underwent sinus surgery, 47.45% (n=625) were female and 52.55% (n=692) were male. The mean age was 38.31±14.67 years. The overall eye complications were 1.74%. In the current study, eye-related minor complications accounted for 1.21% (n=16), and the major complications were 0.53%( n=7). Ecchymosis of the eyelid was the most common, and one patient had complete loss of vision. Seventeen (73.9%) ocular complications were on the right side and six (26.1%) were on the left side; this was statistically significant (χ2=4.981, p <0.0001). There was no association between age, sex, extent of surgery, and complications; however, the side of the operation and the length of hospital stay were statistically significant.
Conclusion: Although FESS is a surgical treatment option for chronic rhinosinusitis, it is important to be aware of the potential eye-related complications that may arise during or after surgery. These complications can range from minor issues, such as ecchymosis of the eyelid, to more serious conditions, such as orbital hematoma or even blindness.

Keywords

Chronic Rhinosinusitis, Complications, FESS, Orbital, Risk factors

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How to Cite
Rasouli , A. A., Rahimi, G. F., Hameedi, A., Safi, A. B., & Zhaisakova , D. (2023). Complications and Risk Factors for Eye in Adult Patients Undergoing Functional Endoscopic Sinus Surgery for Chronic Rhinosinusitis. Nangarhar University International Journal of Biosciences, 2(03), 01–10. https://doi.org/10.70436/nuijb.v2i03.63

References

  1. Al-Mujaini, A., Wali, U., & Al-Khabori, M. (2009). Functional endoscopic sinus surgery: Indications and complications in ophthalmic field. Oman Medical Journal, 24(2), 70–80. https://doi.org/10.5001/omj.2009.18
  2. Alipanahi, R., Sayyahmelli, M., & Sayyahmelli, S. (2011). Ocular complications of functional endoscopic sinus surgery. Journal of the Pakistan Medical Association, 61(6), 537–540.
  3. Bhatti, M. T., Schmalfuss, I. M., & Mancuso, A. A. (2005). Orbital complications of functional endoscopic sinus surgery: MR and CT findings. Clinical Radiology, 60(8), 894–904. https://doi.org/10.1016/j.crad.2005.03.005
  4. Bhatti, M. Tariq. (2007). Neuro-ophthalmic complications of endoscopic sinus surgery. Current Opinion in Ophthalmology, 18(6), 450–458. https://doi.org/10.1097/ICU.0b013e3282f0b47e
  5. Bhatti, M. Tariq, Giannoni, C. M., Raynor, E., Monshizadeh, R., & Levine, L. M. (2001). Ocular motility complications after endoscopic sinus surgery with powered cutting instruments. Otolaryngology - Head and Neck Surgery, 125(5), 501–509. https://doi.org/10.1067/mhn.2001.119514
  6. Bhatti, M. Tariq, & Stankiewicz, J. A. (2003). Ophthalmic complications of endoscopic sinus surgery. Survey of Ophthalmology, 48(4), 389–402. https://doi.org/10.1016/S0039-6257(03)00055-9
  7. Buus, D. R., Tse, D. T., & Farris, B. K. (1990). Ophthalmic Complications of Sinus Surgery. Ophthalmology, 97(5), 612–619. https://doi.org/10.1016/S0161-6420(90)32535-6
  8. Carlton, D. A., Beahm, D. D., Suh, J. D., & Chiu, A. G. (2020). Acute and chronic sinusitis. In CURRENT Diagnosis & Treatment Otolaryngology Head and Neck Surgery (Fourth, Vol. 4, pp. 339–349). McGraw-Hill Education.
  9. Carton, A., & Hislop, S. (2000). Orbital floor injury with extraocular muscle entrapment following functional endoscopic sinus surgery. British Journal of Oral and Maxillofacial Surgery, 38(1), 82–83. https://doi.org/10.1054/bjom.2000.0401
  10. Colclasure, J. C., Gross, C. W., & Kountakis, S. E. (2004). Endoscopic sinus surgery in patients older than sixty. Otolaryngology - Head and Neck Surgery, 131(6), 946–949. https://doi.org/10.1016/j.otohns.2004.06.710
  11. El-Anwar, M. W., Abdelhady, M., Amer, H. S., & Ghali, M. A. (2016). Early and delayed effect of functional endoscopic sinus surgery on intraocular pressure. International Archives of Otorhinolaryngology, 20(4), 359–363. https://doi.org/10.1055/s-0036-1579663
  12. Fageeh, N. A., Pelausa, E. O., & Quarrington, A. (1996). Functional Endoscopic Sinus Surgery: University of Ottawa Experience and an Overview. Annals of Saudi Medicine, 16(6), 711–714. https://doi.org/10.5144/0256-4947.1996.711
  13. Han, J. K., & Higgins, T. S. (2010). Management of orbital complications in endoscopic sinus surgery. Current Opinion in Otolaryngology & Head & Neck Surgery, 18(1), 32–36. https://doi.org/10.1097/MOO.0b013e328334a9f1
  14. Hosemann, W., & Draf, C. (2013). Danger points, complications and medico-legal aspects in endoscopic sinus surgery. GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery, 12, 1–61. https://doi.org/10.3205/cto000098
  15. Huang, D. T.-W., Liu, D. C.-M., Cheng, D. P.-W., & Yang, D. C.-H. (2016). Posterior Ischemic Optic Neuropathy Following Endoscopic Sinus Surgery: Http://Dx.Doi.Org/10.1016/S0194-59980300624-7. https://doi.org/10.1016/S0194-59980300624-7
  16. Jiang, R. S., & Hsu, C. Y. (2001). Endoscopic sinus surgery for the treatment of chronic sinusitis in geriatric patients. Ear, Nose, & Throat Journal, 80(4), 230–232.
  17. Karpishchenko, S. A., Beldovskaya, N. Y., Baranskaya, S. V, & Karpov, A. A. (2017). Ophthalmic comlications of functional endoscopic sinus surgery. Ophthalmology Journal, 10(1), 87–92. https://doi.org/10.17816/ov1087-92
  18. Kennedy, D. W., Zinreich, S. J., Kuhn, F., Eric Loch, H. S., & Naclerio, R. (1987). Endoscopic Middle meatall Antrostomy : theory , Technique and Patency. In Laryngoscope (Vol. 97, pp. 1–9).
  19. Krings, J. G., Kallogjeri, D., Wineland, A., Nepple, K. G., Piccirillo, J. F., & Getz, A. E. (2014). Complications of primary and revision functional endoscopic sinus surgery for chronic rhinosinusitis. Laryngoscope, 124(4), 838–845. https://doi.org/10.1002/lary.24401
  20. Lim, J. C., Hadfield, P. J., Ghiacy, S., & Bleach, N. R. (1999). Medial orbital protrusion - A potentially hazardous anomaly during endoscopic sinus surgery. Journal of Laryngology and Otology, 113(8), 754–755. https://doi.org/10.1017/s0022215100145116
  21. Maniglia, A. J. (1989). Fatal and major complications secondary to nasal and sinus surgery. In Laryngoscope (Vol. 99, Issue 3, pp. 276–283). https://doi.org/10.1288/00005537-198903000-00008
  22. Netkovski, J., & Sirgovska, B. (2006). The impact of functional endoscopic sinus surgery on symptoms in chronic rhinosinusitis. Prilozi, 27(2), 167–174.
  23. Orhan, M., Saylam, C. Y., & Midilli, R. (2009). Intranasal localization of the lacrimal sac. Archives of Otolaryngology - Head and Neck Surgery, 135(8), 764–770. https://doi.org/10.1001/archoto.2009.94
  24. Patel, A. M., Still Esq, T. E., & Vaughan, W. (2010). Medicolegal issues in endoscopic sinus surgery. Otolaryngologic Clinics of North America, 43(4), 905–914. https://doi.org/10.1016/j.otc.2010.04.014
  25. Patel, Z. M., & Govindaraj, S. (2010). The Prevention and management of complications in ethmoid sinus surgery. Otolaryngologic Clinics of North America, 43(4), 855–864. https://doi.org/10.1016/j.otc.2010.04.010
  26. Ramakrishnan, V. R., & Palmer, J. N. (2010). Prevention and management of orbital hematoma. Otolaryngologic Clinics of North America, 43(4), 789–800. https://doi.org/10.1016/j.otc.2010.04.006
  27. Ransom, E. R., & Chiu, A. G. (2010). Prevention and management of complications in intracranial endoscopic skull base surgery. Otolaryngologic Clinics of North America, 43(4), 875–895. https://doi.org/10.1016/j.otc.2010.04.012
  28. Rosner, M., Kurtz, S., Shelah, M., & Rosen, N. (2000). Orbital lipogranuloma after sinus surgery. European Journal of Ophthalmology, 10(2), 183–186. https://doi.org/10.1177/112067210001000217
  29. Sanu, A., Jayanthi, N. V., & Mohan, A. R. (2006). Pre-vertebral surgical emphysema following functional endoscopic sinus surgery. The Journal of Laryngology and Otology, 120(11), 1–3. https://doi.org/10.1017/S0022215106003288
  30. Schaefer, S. D., Manning, S., & Close, L. G. (1989). Endoscopic paranasal sinus surgery indications and considerations. In The Laryngoscope (Vol. 99, Issue 1, pp. 1–5). https://doi.org/10.1288/00005537-198901000-00001
  31. Serdahl, C. L., Berris, C. E., & Chole, R. A. (1990). Nasolacrimal Duct Obstruction After Endoscopic Sinus Surgery. Archives of Ophthalmology, 108(3), 391–392. https://doi.org/10.1001/archopht.1990.01070050089038
  32. Setliff, R. C., & Parsons, D. S. (1994). The “Hummer”: New Instrumentation for Functional Endoscopic Sinus Surgery. American Journal of Rhinology, 8(6), 275–280. https://doi.org/10.2500/105065894781874232
  33. Smith, K. A., Orlandi, R. R., & Rudmik, L. (2015). Cost of adult chronic rhinosinusitis: A systematic review. Laryngoscope, 125(7), 1547–1556. https://doi.org/10.1002/lary.25180
  34. Smith, S. S., Evans, C. T., Tan, B. K., Chandra, R. K., Smith, S. B., & Kern, R. C. (2013). National burden of antibiotic use for adult rhinosinusitis. Journal of Allergy and Clinical Immunology, 132(5), 1230–1232. https://doi.org/10.1016/j.jaci.2013.07.009
  35. Soler, Z. M., Mace, J., & Smith, T. L. (2008). Symptom-based presentation of chronic rhinosinusitis and symptom-specific outcomes after endoscopic sinus surgery. American Journal of Rhinology, 22(3), 297–301. https://doi.org/10.2500/ajr.2008.22.3172
  36. Stankiewicz, J. A., Lal, D., Connor, M., & Welch, K. (2011). Complications in endoscopic sinus surgery for chronic rhinosinusitis: A 25-year experience. Laryngoscope, 121(12), 2684–2701. https://doi.org/10.1002/lary.21446
  37. Ulualp, S. O. (2008). Complications of endoscopic sinus surgery: appropriate management of complications. Current Opinion in Otolaryngology & Head & Neck Surgery, 16(3), 252–259. https://doi.org/10.1097/MOO.0b013e3282fdc3b2
  38. Vanden Abeele, D. (1996). Blindness due to electrocoagulation following functional endoscopic sinus surgery. Journal of Laryngology and Otology, 110(3), 261–264. https://doi.org/10.1017/s0022215100133353
  39. Vásquez, L. M., & González-Candial, M. (2011). Permanent blindness after endoscopic sinus surgery. Orbit, 30(2), 108–110. https://doi.org/10.3109/01676830.2010.546554
  40. Weidenbecher, M., Huk, W. J., & Iro, H. (2005). Internal carotid artery injury during functional endoscopic sinus surgery and its management. European Archives of Oto-Rhino-Laryngology, 262(8), 640–645. https://doi.org/10.1007/s00405-004-0888-8
  41. Wolf, J. S., Malekzadeh, S., Berry, J. A., & Malley, B. W. (2002). Informed Consent in Functional Endoscopic Sinus Surgery. The Laryngoscope, 112(5), 774–778. https://doi.org/10.1097/00005537-200205000-00002
  42. Yan, R., & Zhang, X. (2003). Analysis of complications in functional endoscopic sinus surgery. Lin Chuang Er Bi Yan Hou Ke Za Zhi = Journal of Clinical Otorhinolaryngology, 17(8), 456–457.
  43. Zeifer, B. (2002). Sinusitis: Postoperative changes and surgical complications. Seminars in Ultrasound CT and MRI, 23(6), 475–491. https://doi.org/10.1016/S0887-2171(02)90038-7