Despite meticulous attention to details and expert technique, complications resulting from rhinologic procedures can occur during one's professional career. This book discusses real-life complications and why these unfortunate events occur, as well as how best to manage the consequent issues. The text also provides thoughtful strategies to prevent such situations going forward. The book is organized as a series of case-based chapters, each illustrating a complication involving the orbit, the skull base, unexpected bleeding, poor healing, or those relating to intraoperative decision making, and how each was managed by the authors. Each chapter begins with bullet points highlighting key clinical pearls illustrated by that particular case. Written by leaders in the field with decades of experience in sino-nasal procedures, the analysis complements expert opinions with evidence-based published literature and shares experiences related to the most current techniques, devices, and instrumentation. Every otolaryngologist practicing rhinologic procedures will appreciate the candid nature of the discussion and will find enrichment in this shared wisdom.
Lessons Learned from Rhinologic Procedure Complications: A Case-Based Review serves practitioners of general otolaryngology as well as resident trainees in this field, explaining how best to identify, diagnose, and resolve a complication during rhinology procedures.
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Rakesh ChandraOtolaryngology-Head and Neck SurgeryRhinology, Sinus, & Skull Base SurgeryVanderbilt University Medical CenterNashville, TN 37232USA
Dr. Chandra is Professor and Division Chief for Rhinology & Skull Base Surgery at Vanderbilt University Medical Center, where he is holder of the Endowed Directorship in Leadership and Educational Development. He has served the American Rhinologic Society as Course Director for multiple CME conferences, and as a member of the society's board. Dr. Chandra has served as Editor-in-Chief of the American Journal of Rhinology and Allergy and as an oral examiner for the American Board of Otolaryngology. He earned his undergraduate degree from Virginia Tech, Doctor of Medicine from the University of Maryland, and Masters in Business from Vanderbilt's Owen Graduate School of Management. Dr. Chandra did his residency training at Northwestern University and a Fellowship in Rhinology & Skull Base Surgery at the University of Pennsylvania. He has over 150 peer reviewed publications.
Kevin C. WelchOtolaryngology-Head and Neck SurgeryNorthwestern University Feinberg School of MedicineChicago, IL 60611USA
Dr. Welch is an Associate Professor of Otolaryngology at Northwestern University, Feinberg School of Medicine where he also serves as a member of the Physician Advocacy Group. He currently is the Treasurer and member of the Executive Committee of the American Rhinologic Society and former Course Director for multiple regional and international CME/Educational conferences. He is a Board Member of the International Forum of Allergy & Rhinology and serves as an Associate Editor for the journal as well. He earned his undergraduate degree from the University of Pennsylvania and his Doctor of Medicine from MCP-Hahnemann University School of Medicine. Dr. Welch completed his residency in Otolaryngology at the University of Maryland and his fellowship in Rhinology & Skull Base Surgery at the University of Pennsylvania.
Section I: The Orbit.- Simple Orbitotomy.- Orbital Hematoma: Acute.- Orbital Hematoma: Delayed.- Extraoccular Muscle Injury.- Silent Sinus Syndrome.- Section II: The Skull Base.- CSF Leak in the Ethmoid.- CSF Leak in the Sphenoid/Stella- CSF Lean in an Unusual Location.- Pneumocephalus.- Intracranial Injury.- Section III: Surgical Bleeding: Generalized Bleeding.- Sphenopalatine Artery.- Anterior Ethmoid Artery.- Carotid Artery Injury.- The Anticoagulated Patient.- Section IV: Surgical Healing.- Synechiae.- Ostial Stenosis.- Middle Turbinate Lateralization.- Intraoperative Decision Making.- I should Have Used Packing/Stent.- I Shouldn't have Put that In.- I Could Have Done Better with Navigation.- I Shouldn't Have Relied on Navigation.
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