scholarly journals Bilateral pneumothorax, pneumomediastinum and subcutaneous emphysema following functional endoscopic sinus surgery under general anaesthesia - A case report

2020 ◽  
Vol 08 (02) ◽  
Author(s):  
Aswani B ◽  
Keyword(s):  
Case Report ◽  
General Anaesthesia ◽  
Subcutaneous Emphysema ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Bilateral Pneumothorax

scholarly journals Pneumomediastinum after functional endoscopic sinus surgery under general anesthesia -A case report-

2013 ◽  
Vol 64 (4) ◽  
pp. 367 ◽  
Author(s):  
Jung Man Park ◽  
Young-Chul Park ◽  
Jong Nam Lee ◽  
Jun Seok Bae ◽  
Shin Kyu Kang
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery

Monitoring of intra-operative visual evoked potentials during functional endoscopic sinus surgery (FESS) under general anaesthesia

1996 ◽  
Vol 110 (1) ◽  
pp. 31-36 ◽  
Author(s):  
S. S. M. Hussain ◽  
H. C. K. Laljee ◽  
J. M. Horrocks ◽  
A. R. H. Grace
Keyword(s):  
Evoked Potentials ◽  
General Anaesthesia ◽  
Visual Evoked Potentials ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Sinus Disease ◽  
Flash Visual Evoked Potentials ◽  
Preliminary Study ◽  
Visual Evoked

AbstractFunctional endoscopic sinus surgery (FESS) is an effective treatment for inflammatory sinus disease. The potential for major complications during FESS is high particularly under general anaesthesia. The most serious of these is injury to the eye leading to blindness. We looked at the feasibility of monitoring flash visual evoked potentials (VEP) simultaneously from both eyes during FESS. Five patients were included in this preliminary study. A haptic contact lens connected by fibreoptic cable to a photostimulator was placed on the eyes and stimulus of comparable intensity to a conventional strobe was delivered. We found that an increase in P100 latency to be an indicator of optic nerve compression. However, for this to be useful the diastolic blood pressure should not fall below 50 mmHg, the oxygen saturation should be maintained at 98 per cent and bleeding should be minimized during surgery. The changes in the amplitude of P100 was not found to be useful.While there is no substitute for learning endoscopic surgery by cadaveric dissection and supervised training we believe that in selected cases VEP monitoring can be employed with profit.

Pneumocephalus and orbital emphysema associated with the use of an autoinflation device: a unique case report and review of the literature

2019 ◽  
Vol 133 (2) ◽  
pp. 157-160
Author(s):  
A J Millington ◽  
V Perkins ◽  
M A Salam
Keyword(s):  
Case Report ◽  
Otitis Media ◽  
Eustachian Tube ◽  
Endoscopic Sinus Surgery ◽  
Otitis Media With Effusion ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Orbital Emphysema ◽  
Tube Dysfunction ◽  
History Of

AbstractBackgroundAutoinflation devices are commonly used for otitis media with effusion and Eustachian tube dysfunction. Generally, these are very safe devices, with few or no complications.Case reportThis paper presents a case study of pneumocephalus and orbital emphysema, associated with the use of an autoinflation device, in a 73-year-old woman with Eustachian tube dysfunction and otitis media with effusion, and a history of extensive endoscopic sinus surgery 13 years previously.ConclusionA literature review showed autoinflation-related pneumocephalus in patients with skull base defects relating to cranial surgery or tumours; however, this has not been described previously with the Otovent system or its use in relation to functional endoscopic sinus surgery. Given the theoretical risk of undetected bony abnormalities in post-operative functional endoscopic sinus surgery patients, it is suggested that autoinflation devices are used cautiously in patients with a history of sinus surgery.

Bilateral antrochoanal polyps in a child: a case report

1996 ◽  
Vol 110 (3) ◽  
pp. 272-274 ◽  
Author(s):  
H. M. Myatt ◽  
M. Cabrera
Keyword(s):  
Case Report ◽  
Endoscopic Sinus Surgery ◽  
Histological Analysis ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Complete Cure

AbstractIn this paper we present the first ever reported case of simultaneously occurring bilateral antrochoanal polyps in a fit 12-year-old child. The antrochoanal polyps (ACP) were removed using functional endoscopic sinus surgery (FESS) which achieved complete cure. Histological analysis of the polyps showed them to be of benign inflammatory origin.

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