Headset-related sensory and motor neuropathies in image-guided sinus surgery.
Complications related to the use of image-guided systems in sinus surgery are fortunately rare. We report a case series of 6 patients who experienced facial neuropathies (both sensory and motor) related to the use of a headset for electromagnetic-based image-guided surgery. The auriculotemporal nerve was the most common sensory nerve involved, and the buccal branch of the facial nerve was implicated in a case of motor weakness. The cause of the complication appears to be a pressure neuropathy caused by a tight-fitting headset against the external auditory meatus and temporomandibular joint. Additional risk factors for headset-related neuropathy may relate to body habitus, length of surgical procedure, and patient positioning. All patients' neuropathies resolved completely without intervention. Headset-related complications appear to be uncommon but may be an important consideration in counseling patients who are candidates for image-guided sinus surgery.
Hwang
Peter H
PH
Department of Otolaryngology-Head & Neck Surgery, Oregon Health & Science University, Portland, OR 97201-3098, USA. hwangp@ohsu.edu
Maccabee
Mendy
M
Lindgren
John A
JA
D000328:Adult; D005155:Facial Nerve Diseases / Q000209:etiology*; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D006801:Humans; D006987:Hypesthesia / Q000209:etiology; D008297:Male; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation; D010256:Paranasal Sinuses / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000295:instrumentation*