Complications of trans-sphenoidal surgery: the Wellington experience.

The Australian and New Zealand journal of surgery Pub Date : 2000-06-01 DOI:10.1046/j.1440-1622.2000.01843.x

A C Woollons, V Balakrishnan, M K Hunn, Y R Rajapaske

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引用次数: 17

Abstract

Background: All patients who underwent trans-sphenoidal surgery between January 1984 and December 1998 were reviewed to assess morbidity resulting from this operation.

Methods: There were 185 operations on 165 patients. The operative approach was sublabial in 80 cases and transnasal in 105. One surgeon (VB) performed the vast majority of operations.

Results: Complications included nasal perforation (7.6%), transient diabetes insipidus (4.9%), permanent diabetes insipidus (3.8%), cerebrospinal fluid fistula (4.3%), donor site haematoma (2.2%) and residual tumour haemorrhage (1.6%) causing ophthalmoplegia (1.1%) and loss of vision (1.1%). Other complications included epistaxis (1.1%), meningitis (0.5%) and sinusitis (0.5%). Injury to the anterior superior alveolar nerve also occurred in the sublabial approach in 6.3% of patients. There were no perioperative deaths.

Conclusions: There is a small but significant risk of a number of complications that should be considered for informed consent of this procedure.

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经蝶窦手术的并发症:惠灵顿经验。

背景:我们回顾了1984年1月至1998年12月间所有接受经蝶窦手术的患者，以评估该手术的发病率。方法:对165例患者进行185次手术。经鼻入路105例，经鼻入路80例。一名外科医生(VB)进行了绝大多数手术。结果:并发症包括鼻穿孔(7.6%)、短暂性尿崩症(4.9%)、永久性尿崩症(3.8%)、脑脊液瘘(4.3%)、供体部位血肿(2.2%)和残留肿瘤出血(1.6%)，导致眼麻痹(1.1%)和视力丧失(1.1%)。其他并发症包括鼻出血(1.1%)、脑膜炎(0.5%)和鼻窦炎(0.5%)。牙槽前上神经损伤也发生在6.3%的患者的唇下入路。无围手术期死亡。结论:有一些并发症的小但重要的风险，应考虑知情同意该程序。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Australian and New Zealand journal of surgery

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