“Potential risk factors associated with the development of synechiae following functional endoscopic sinus surgery”
Jamil Manji, Al-Rahim Habib, Ameen Amanian, Saad Alsaleh, Andrew Thamboo, Amin Javer
OBJECTIVES Synechiae formation in the middle meatus is the most common complication of functional endoscopic sinus surgery (FESS). Our objectives were to determine the incidence of synechiae occurring in a cohort of patients that have undergone FESS and identify characteristics associated with its development postoperatively.
METHODS A retrospective chart review was conducted of CRS patients that had undergone bilateral FESS. All patients had received non-absorbable spacers intraoperatively left in situ for 6 days. Demographic and preoperative variables were analyzed to identify synechiae risk factors.
RESULTS Two hundred cases of bilateral FESS were retrospectively reviewed. Thirty-eight (19.0%) patients developed synechiae. Individuals receiving primary FESS and nasal septal reconstruction (NSR) were strongly associated with the development of synechiae.
CONCLUSIONS Patients undergoing primary FESS and NSR are at greatest odds of developing postoperative synechiae. Methods of assessing risk factors and preventing synechiae formation in this population should be evaluated in future prospective investigations.
By the end of this presentation, the clinician/resident will be able to: 1. Describe the primary risk factors in developing synechiae following functional endoscopic sinus surgery. 2. Consider the importance of identifying and assessing patient risk factors to prevent synechiae formation in patients undergoing functional endoscopic sinus surgery. 3. Point out the modalities used intraoperatively in functional endoscopic sinus surgery to prevent the development of synechiae.
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Authors' Contact Details
Corresponding Author: Dr. Ameen Amanian
Senior Author: Dr. Amin Javer
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