Prevention and management of vascular injuries in endoscopic surgery of the sinonasal tract and skull base

C. Arturo Solares, Yew Kwang Ong, Ricardo L. Carrau, Juan Fernandez-Miranda, Daniel M. Prevedello, Carl H. Snyderman, Amin B. Kassam

Research output: Contribution to journalReview article

24 Scopus citations

Abstract

In the past 2 decades, endoscopic sinus surgery has been widely used as a safe and effective treatment for disorders of the paranasal sinuses that are refractory to medical therapy. Advances in surgical technique, including powered instrumentation and stereotactic image-guided surgery, have improved the efficiency and safety of this procedure. These techniques have been further expanded to manage skull base pathologies. This expansion has been facilitated by a better understanding of the endonasal skull base anatomy. Despite these advances, complications are still encountered. Vascular injuries are particularly troublesome. Interior ethmoid artery injuries during sinus surgery that led to orbital hematoma were discussed extensively in a recent issue of this journal. Therefore, this article focuses mainly on inadvertent carotid artery injuries during routine sinus surgery and vascular injuries during endoscopic skull base surgery.

Original languageEnglish (US)
Pages (from-to)817-825
Number of pages9
JournalOtolaryngologic Clinics of North America
Volume43
Issue number4
DOIs
Publication statusPublished - Jan 1 2010

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Keywords

  • Carotid artery injury
  • Endoscopic skull base surgery
  • Sinus surgery
  • Vascular injury

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Medicine(all)

Cite this

Solares, C. A., Ong, Y. K., Carrau, R. L., Fernandez-Miranda, J., Prevedello, D. M., Snyderman, C. H., & Kassam, A. B. (2010). Prevention and management of vascular injuries in endoscopic surgery of the sinonasal tract and skull base. Otolaryngologic Clinics of North America, 43(4), 817-825. https://doi.org/10.1016/j.otc.2010.04.008