Biomedical subjects
A Sogg
Publications and source records attributed to A Sogg.
Medico-legal aspects of sinus surgery.
Explore the source record for details and available documents.
Ethmoid surgery complications and their avoidance.
The purpose of this report is to review the complications that two experienced operators have encountered during the past 20 years. The techniques employed by the authors are similar. Three thousand intranasal non-endoscopic procedures accumulated between the co-authors were further evaluated to explain why complications could occur. There were five dural injuries in this series that were managed conservatively. Periorbital ecchymoses were seen in 9% of the cases with no permanent adverse sequelae. Approximately 0.5% of the patients had postoperative bleeding. Conclusions that the authors reached were as follows. 1) A complication as a result of ethmoid sinus surgery can occur with any technique and in the hands of any surgeon. 2) Training and experience plus knowledge of the ethmoid anatomy may help reduce the absolute number of complications. 3) Early recognition of a complication and its appropriate management can help decrease the relative severity of the complication. 4) The surgeon should terminate a procedure when visualization and localization are compromised.
Long-term results of ethmoid surgery.
This paper investigates the results of nonendoscopic intranasal ethmoid surgery on 146 patients who were followed up for 6 to 13 years. These patients are divided into four groups: 1) infection without allergy, 2) infection with allergy, 3) infection with polyps and no allergy, and 4) infection with polyps and allergy. These groups are evaluated as to the long-term results of surgical treatment with or without concurrent allergic desensitization. The great majority of patients benefited from the surgical treatment regardless of their allergic status. Postoperatively, the allergic patients had more subjective symptoms than those having only infection. A major conclusion was that the long-term benefit to the patient as a result of the operation performed by experienced hands does override the potential risks of ethmoid surgery.