Complication of Functional Endoscopic Nose and Sinus Surgery

Functional endoscopic sinus surgery (FESS) is one of the most common procedures in the field of Otolaryngology. Most authors divide complications into ‘minor’ and ‘major’ categories. Minor complications may include bleeding, infection, synechia formation, ostial stenosis, and tooth or lip numbness, or recurrence of disease. Major complications may include hyposmia/anosmia, exposure of orbital fat, damage to extraocularmuscles, blindness, vascular damage, exposure of durra, cerebrospinal fluid (CSF) leak, intracranial injury, or death. Purpose of this study was to evaluate the complications of Functional Endoscopic Sinus Surgery in a group of patients with chronic sinus disease. Methods and Materials: In a prospective cross- sectional study, without control group, 62 patients who underwent functional endoscopic sinus surgery for refractory chronic sinus diseases were evaluated for Otolaryngology and Ophthalmic complications. Total numbers of patients were 62 cases of chronic rhino sinusitis with poliposis (46.8 %), without poliposis (32.2 %) and with tumors (21%). Mean age of patients was 38.35 ± 13.97 years (range from 15 to 75). Among this 62 patients, there were7 (11.2 %) patients with ocular complications (one cellulites (1, 6 %) and six patients had lids swelling and conjunctival injection). Three patients had postoperative epistaxis and one patient had Cerebrospinal fluid (CSF) leakage. We noted that 83.77% improvement in the preoperative symptoms after surgery. Ophthalmologic and otolaryngologic complications of Functional endoscopic sinus surgery are usually minor and respond to conservative management.