gms | German Medical Science

GMS Current Posters in Otorhinolaryngology - Head and Neck Surgery

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V. (DGHNOKHC)

ISSN 1865-1038

Evaluation of complications of functional endoscopic sinus surgery

Poster Endoskopie

  • corresponding author Liliya Ilieva - Medical university "Prof. dr. Paraskev Stoyanov", Varna, Bulgaria
  • Georgi Georgiev - Department of Otorhinolaryngology, University hospital St. Marina, Varna, Bulgaria
  • Darina Ivanova - Department of imaging diagnostics and radiotherapy, University hospital St. Mari, Varna, Bulgaria
  • Nikolay Sapundzhiev - Department of Otorhinolaryngology, University hospital St. Marina, Varna, Bulgaria

GMS Curr Posters Otorhinolaryngol Head Neck Surg 2017;13:Doc273

doi: 10.3205/cpo001827, urn:nbn:de:0183-cpo0018270

Veröffentlicht: 26. April 2017

© 2017 Ilieva et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe



Introduction: The objective of this study is to evaluate the complications after functional endoscopic sinus surgery (FESS) in the Department of Otorhinolaryngology at the University hospital St. Marina, Varna.

Materials and methods: The records of all patients subjected to FESS were evaluated retrospectively. The complications were classified as major (severe hemorrhage, leakage of cerebral spinal fliud, visual disturbances) and minor (mild hemorrhage, periorbital hematoma and cellulitis, subcutaneous emphysema, epiphora).

Results: A total of 64 patients aged 11-77 (2 children, mean age 13 +/- 2.8 years and 62 adults, mean age 46.5 +/- 13.9 years, 40 men and 24 women), who were subjected to FESS, were evaluated. The indications for surgery included nasal polyposis (57.8%, 37/64), chronic sinusitis (21.8%, 14/64), polyposis with sinusitis combined (7.8%, 5/64), benign tumors (10.9%, 7/64) and malignant tumors (1.5%, 1/64). The types of FESS interventions performed included polypectomy (10.9%), incision into the sinuses (29.6%), combinated interventions (48.4%) and excision/extraction of other lesions (10.9%). The complications observed included hemorrhage followed (12, 18.7%), visual disturbances (1, 1.5%) and subcutaneous emphysema (1, 1.5%). The overall complication rate was 20.2%. Four cases were classified as major complications (6.25%). Nine cases were classified as minor complications (14%).

Conclusion: Functional endoscopic sinus surgery may be considered a relatively safe method with low rate of the complications, but as with any surgical intervention, it carries risks. According to other published reports the average rate of minor and major FESS complications is respectively about 9% and about 0.9%.

Unterstützt durch: Assoc. prof. dr. Nikolay Sapundzhiev

Der Erstautor gibt keinen Interessenkonflikt an.