Our Summary

This research paper looks at the risks and types of eye-related complications from surgery for chronic rhinosinusitis - a long-term swelling and irritation of the sinuses. The study looked back at 1658 patients who had a type of surgery called endoscopic sinus surgery. The results showed that about a third of the patients needed the surgery again, but only about 10% of these had their first operation at this particular hospital.

The study found complications in about 0.66% of the patients, with minor complications seen in about 0.3%. The most common minor issue was bruising and swelling around the eye. Major complications were seen in one patient (0.06%) and were related to an injury to the tear duct. Serious complications occurred in 5 patients (0.3%), including behind the eye bleeding, damage to the optic nerve, and injury to a muscle outside the eyeball.

The researchers concluded that eye-related complications from this type of sinus surgery are rare. Serious complications causing permanent damage occur in less than 0.3% of cases. The factors most likely to contribute to complications are the extent of the sinus disease, having had this type of surgery before, and being on blood-thinning medication at the same time.

FAQs

  1. What are the most common eye-related complications from endoscopic sinus surgery?
  2. How often do serious complications occur in endoscopic sinus surgery, and what are the contributing factors?
  3. What percentage of patients need to have the surgery again, and what is the likelihood of complications in these cases?

Doctor’s Tip

A doctor might tell a patient that while eye-related complications from nasal polyp removal surgery are rare, it is important to discuss any previous surgeries, sinus disease severity, and current medications with the surgeon beforehand to minimize risks. It is also important to follow post-operative care instructions carefully to promote healing and reduce the risk of complications.

Suitable For

Patients who are recommended nasal polyp removal typically have chronic rhinosinusitis that has not responded to other treatments such as medication. They may experience symptoms such as nasal congestion, facial pain or pressure, reduced sense of smell, and nasal discharge. Patients with large nasal polyps that cause significant obstruction of the nasal passages or sinuses may be particularly recommended for surgery. Additionally, patients who have recurrent sinus infections or who have polyps that are causing complications such as sinusitis or obstructive sleep apnea may also be candidates for nasal polyp removal.

Timeline

Before nasal polyp removal, a patient may experience symptoms such as nasal congestion, runny nose, postnasal drip, reduced sense of smell and taste, facial pain or pressure, and headaches. These symptoms can significantly impact a person’s quality of life and may require treatment with medications such as corticosteroids or nasal sprays.

After nasal polyp removal, patients may experience relief from their symptoms and improved breathing. The recovery process typically involves some discomfort or pain, congestion, and nasal drainage for a few days to weeks. Patients may be advised to avoid certain activities, such as blowing their nose or strenuous exercise, to prevent complications. Follow-up appointments with the surgeon may be necessary to monitor healing and ensure the polyps do not return.

Overall, nasal polyp removal can significantly improve a patient’s quality of life by relieving symptoms and improving breathing. However, as with any surgical procedure, there are potential risks and complications that should be discussed with the surgeon before undergoing treatment.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with nasal polyp removal surgery, particularly in relation to eye-related complications?
  2. How often do eye-related complications occur in patients undergoing this type of surgery?
  3. What steps can be taken to minimize the risk of eye-related complications during and after the surgery?
  4. What symptoms should I watch out for that may indicate a potential eye-related complication following nasal polyp removal surgery?
  5. Are there any specific medications or medical conditions that may increase the likelihood of eye-related complications during the surgery?
  6. What is the likelihood of needing a second surgery for nasal polyp removal, and how does this impact the risk of eye-related complications?
  7. How experienced is the surgical team in performing this type of surgery, and what measures are in place to ensure the safety and success of the procedure?
  8. Are there any specific post-operative care instructions or precautions that I should follow to reduce the risk of eye-related complications?
  9. What should I do if I experience any unusual or concerning symptoms after the surgery, particularly in relation to my eyes?
  10. Are there any alternative treatment options available for nasal polyps that may pose a lower risk of eye-related complications?

Reference

Authors: Seredyka-Burduk M, Burduk PK, Wierzchowska M, Kaluzny B, Malukiewicz G. Journal: Braz J Otorhinolaryngol. 2017 May-Jun;83(3):318-323. doi: 10.1016/j.bjorl.2016.04.006. Epub 2016 May 4. PMID: 27233691