Background Chronic rhinosinusitis is an inflammatory condition of the nose and paranasal sinuses lasting more than 12 weeks. The common treatment is intranasal corticosteroids but if this treatment fails in relieving symptoms endoscopic sinus surgery (ESS) is considered - a common procedure in the Otolaryngology department in Örebro county. ESS can be assisted by image guided navigation (IGN).In a quality ensuring purpose, this study aimed to investigate the frequency and characteristics of post-operative complications after ESS and examining possible risk factors for complications. Methods Retrospective chart review study. The post-operative complication rate after ESS was calculated. Bivariate analysis was used to find potential factors associated with post-operative complications. The variables of significance were used in multivariate analysis. Result Out of 131 patients; 52 (39.7%) had any post-operative complication. 21 had major – and 35 had minor complications. Local infection was the most common complication. IGN was associated with an increased risk of complications, both minor (OR 2.4, 95% CI 1.0-5.6) and overall (OR 2.7, 95% CI 1.3-5.8). Extensive surgery was associated with an increased risk of complications, both major (OR 2.6, 95% CI 1.0-6.9) and overall (OR 2.2, 95% CI 1.0-4.6). Male sex was associated with increased risk of major complications (OR 2.3, 95% CI 1.2-15.5). Conclusion The complication rate is comparable to other studies with similar definition of complications. IGN assistance, extensive surgery and male sex were associated with an increased risk of complications. Further research should be performed before drawing conclusions determining why they increase the risk.
| Identifer | oai:union.ndltd.org:UPSALLA1/oai:DiVA.org:oru-102868 |
| Date | January 2022 |
| Creators | Sundström, Anna |
| Publisher | Örebro universitet, Institutionen för medicinska vetenskaper |
| Source Sets | DiVA Archive at Upsalla University |
| Language | English |
| Detected Language | English |
| Type | Student thesis, info:eu-repo/semantics/bachelorThesis, text |
| Format | application/pdf |
| Rights | info:eu-repo/semantics/openAccess |
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