内視鏡下鼻内手術における術中副損傷および術後合併症の検討

重田 泰史; 大櫛 哲史; 吉川 衛; 飯田 誠; 中山 次久; 浅香 大也; 濱 孝憲; 森 恵莉; 小島 純也; 吉田 拓人; 飯村 慈朗; 和田 弘太; 松脇 由典; 柳 清; 森山 寛; 鴻 信義

doi:10.3950/jibiinkoka.115.22

Original article

Endoscopic Sinus Surgery Complications a Prospective Multicenter Study

Yasushi Shigeta, Tetsushi Okushi, Mamoru Yoshikawa, Makoto Iida, Tsuguhisa Nakayama, Daiya Asaka, Takanori Hama, Eri Mori, Junya Kojima, Takuto Yoshida, Jiro Iimura, Kota Wada, Yoshinori Matsuwaki, Kiyoshi Yanagi, Hiroshi Moriyama, Nobuyoshi Otori

Author information

Yasushi Shigeta
Department of Otorhinolaryngology, Jikei University Daisan Hospital
Tetsushi Okushi
Department of Otorhinolaryngology, Jikei University School of Medicine
Mamoru Yoshikawa
Department of Otorhinolaryngology, Jikei University School of Medicine
Makoto Iida
Department of Otorhinolaryngology, Jikei University Aoto Hospital
Tsuguhisa Nakayama
Department of Otorhinolaryngology, Jikei University School of Medicine
Daiya Asaka
Department of Otorhinolaryngology, Jikei University School of Medicine
Takanori Hama
Department of Otorhinolaryngology, Jikei University School of Medicine
Eri Mori
Department of Otorhinolaryngology, St. Luke's International Hospital
Junya Kojima
Department of Otorhinolaryngology, Jikei University Daisan Hospital
Takuto Yoshida
Department of Otorhinolaryngology, Jikei University Aoto Hospital
Jiro Iimura
Department of Otorhinolaryngology, Ota General Hospital
Kota Wada
Department of Otorhinolaryngology, Tokyo Kouseinenkin Hospital
Yoshinori Matsuwaki
Department of Otorhinolaryngology, Jikei University School of Medicine
Kiyoshi Yanagi
Department of Otorhinolaryngology, St. Luke's International Hospital
Hiroshi Moriyama
Department of Otorhinolaryngology, Jikei University School of Medicine
Nobuyoshi Otori
Department of Otorhinolaryngology, Jikei University School of Medicine

Keywords: endoscopic sinus surgery, perioperative complication, postoperative complication

JOURNAL FREE ACCESS

2012 Volume 115 Issue 1 Pages 22-28

DOI https://doi.org/10.3950/jibiinkoka.115.22

Details

Abstract

Objective: Our objective was to determine the rate of complications in endoscopic sinus surgery (ESS) and associated risk factors.
Methods: We prospectively studied 1,382 subjects undergoing ESS for rhinosinusitis and cystic sinus disease at 16 hospitals during 2007 and 2008. Surgeons provided information on peri-and postoperative complication occurrence.
Result: Results of complications were seen in 80 subjects (5.8%), the most frequent was perioperative lamina papyracea injury. Analysis showed the complication rate to be linked to gender, and anesthesia type, but not the grade of surgeon.
Conclusions: While care should be taken to avoid them, complications should be identified and treated in a timely and accurate manner.

Corresponding author

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