Nose and sinuses
Krajmed Medical Center
Complications after surgery nose and sinuses
Any extensive surgical procedure can be followed by serious general complications: Pneumonia, venous congestion and thrombosis, stroke, systemic infection, myocardial infarction, respiratory failure and death.
Dear Patient,
Any surgical procedure (operation) may involve:
- With sequelae that are the result of disease or treatment ( can occur at any stage of diagnosis and treatment)
- with complications that, although not the result of an error, are adverse events (they occur with varying frequency).
Krajmed Medical Center
consequences or complications after conchoplasty
Frequent but harmless
- Early bleeding (up to 24 hours), may require tamponade
- Late bleeding (usually by day 7, rarely-late), may require tamponade
- Nasal pain
- Formation of scabs, clots, evacuation of clam fragments, unpleasant odor
- Need to clean the nose and apply ointment
- Re-establishment of auricular hypertrophy
- Open obstruction (empty nose syndrome), dry nose
Krajmed Medical Center
Consequences or complications after septoplasty
Frequent but harmless
- Early bleeding (up to 24 hours), may require changing to a new tamponade
- Late bleeding (usually by the 7th day, rarely-late), may require tamponade or surgical closure of the blood vessel
- Nasal pain
- Swelling of the upper lip, hematoma within the palate
- Formation of scabs, clots, unpleasant odor from the nose
- Need to clean the nose and apply ointment
- Luxation of the reimplanted cartilage (skewing of the inserted cartilage) with renewed deterioration of nasal patency
- Hematoma or abscess of the septum
- Occurrence of perforation (hole) in the nasal septum at surgery or in the course of healing
- Open obstruction(empty nose syndrome)
Rare, much more serious
- Deformity of the external nose with collapse of the nasal dorsum
- Massive bleeding requiring ligation of an artery in the neck
Krajmed Medical Center
Consequences or complications after nasal bone repositioning surgery
Frequent but harmless
- Early bleeding (up to 24 hours), may require changing to a new tamponade
- Late bleeding (usually by day 7, rarely-late), may require tamponade
- Nasal pain, emphysema of the face and eyelids, ocular hematomas around the eyes
- Swelling of the upper lip, hematoma within the palate
- Lack of good cosmetic result especially with deferred treatment or in multifracture fractures, failure to achieve full nasal patency which may require septoplasty (nasal septal surgery) in the future
Rare, much more serious
- Deformity of the external nose with collapse of the nasal dorsum
- Massive bleeding requiring ligation of an artery in the neck
Krajmed Medical Center
Consequences or complications After maxillary sinus surgery with sublaryngeal approach
Frequent but harmless
- Early bleeding (up to 24 hours), may require tamponade
- Late bleeding (usually by day 7, rarely-late), may require tamponade
- Emphysema on the face, emphysema within the eyelids on the operated side
- Swelling, bruising, pain in the cheek area, cheek abscess
- Bone inflammation
- Complaints of the nature of neuralgia of the infraorbital nerve
- Wound spreading in the vestibule of the mouth
- Very rare: persistent communication (fistula) between the sinus and the mouth
Rare, much more serious
- Massive bleeding requiring ligation of an artery in the neck
Krajmed Medical Center
Consequences or complications after FESS surgery
Frequent but harmless
- Early bleeding (up to 24 hours), may require tamponade
- Late bleeding (usually by day 7, rarely-late), may require tamponade
- Emphysema on the face, emphysema within the eyelids
- Swelling, bruising, pain in the nasal and orbital area, orbital tissue inflammation
- Bone inflammation, recurrence of infection
- Formation of scabs, clots, evacuation of tissue fragments, unpleasant odor
- Need to clean the nose and apply ointment
- Development of intranasal adhesions
- Neuralgia-like complaints
- Re-growth of polyps or overgrowth of inflammatory tissues (with recurrent infections)
- Very rare: permanent absence of smell after treatment
Rare, but much more serious
- Massive bleeding requiring ligation of an artery in the neck
- Very rare: orbital hematoma
- Very rare: optic nerve damage
- Persistent orbital symptoms: visual disturbances (douching), tearing
- Fluids, meningitis, need for corrective surgery
- Very rare: cavernous sinus bleeding
- Very rare: intracranial emphysema with the need for neurosurgery
- Very rare: blindness of the eye on the operated side
- Very rare: laceration and hemorrhage from the internal carotid artery
Krajmed Medical Center
Consequences or complications after surgery to remove choanal polyp
Frequent but harmless
- Early bleeding (up to 24 hours), may require re-tamponade or surgical supply
- Late bleeding (usually by day 7, rarely-late), may require tamponade
- Swelling, bruising, pain in the cheek area, cheek abscess
- Swelling, bruising, pain in the nasal and orbital area, orbital tissue inflammation
- Formation of scabs → Need to clean the nose and apply ointment,
- Development of intranasal adhesions
- Bone inflammation
- Complaints of the nature of neuralgia of the infraorbital nerve
- Wound spreading in the oral vestibule
- Re-growth of choanal polyp, especially after surgery conducted exclusively endoscopically
- Very rare: permanent absence of smell after treatment
Rare, but much more serious
- Massive bleeding requiring ligation of an artery in the neck
- Very rare: orbital hematoma
- Very rare: persistent orbital symptoms: diarrhea, lacrimation
- Very rare: liquorrhea, meningitis, need for corrective surgery
Krajmed Medical Center
Consequences or complications After frontal sinus or rhesus osteoma surgery
Frequent but harmless
- Early bleeding (up to 24 hours), may require tamponade
- Late bleeding (usually by day 7, rarely-late), may require tamponade
- Swelling of the forehead and eyelids on the operated side, bruising of the orbit, pain in the medial orbital angle, emphysema, orbital tissue inflammation
- Need to clean the nose and apply ointment
- Osteoporosis recurrence
- Development of intranasal adhesions, secondary sinus obstruction on this side, need for reoperation
- Recurrence of headache-like complaints, re-obstruction of the created anastomosis, need for a second surgery
Rare, much more serious
- Very rare: orbital hematoma
- Persistent symptoms from the orbital side: diarrhea, tearing
- Fluids, meningitis, need for corrective surgery
- Very rare: complication of cavernous sinus bleeding, intracranial emphysema
Krajmed Medical Center
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