[Complications of endoscopic nasal and sinus surgery: experience in 150 patients].
BACKGROUND
Endoscopic nasal and sinus surgery has been used greatly for the treatment of inflammatory and neoplasm pathology, as well as for the approach of the extrasinus structures. Although it has proven to be a very successful method, it is not exempt of complications. Our objective was to identify the frequency of complications in patients with sinus and nasal pathology that underwent an endoscopic surgery of the nose and sinuses.


METHODS
A total of 150 patients who underwent endoscopic sinus surgery, 75 women and 75 men, in a specialties hospital of the Instituto Mexicano del Seguro Social (IMSS). The type of pathology, surgical technique done, major and minor adverse event presented were recorded.


RESULTS
We observed an overall complication rate of 18 %: 2.7 % corresponded to major, and 15.3 % to minor. The main pathologies were chronic rhinosinusitis without polyps (24.7 %) and sinus nasal tumors (22 %).


CONCLUSIONS
The overall complications and the major rates were similar to those reported in the literature. On the other hand, the minor adverse events were slightly higher. Still, endoscopic surgery has become a safe surgical treatment option.
Servicio de Otorrinolaringología, Hospital de Especialidades. Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, México. drvargasaguayo@hotmail.com.
Alejandro Martín
AM
Vargas-Aguayo
Rosalba Elizabeth
RE
Copado-Ceballos
Eulalio
E
Vivar-Acevedo
Salomón
S
Waizel-Haiat
Roxana
R
Contreras-Herrera
Eduardo
E
Desentis-Vargas
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D004724:Endoscopy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D059747:Nasal Surgical Procedures / Q000009:adverse effects / Q000379:methods; D009668:Nose Diseases / Q000601:surgery*; D010254:Paranasal Sinus Diseases / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D055815:Young Adult
Endoscopy; Nose; Paranasal sinuses; Postoperative complications