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Vol. 54. Issue 8.
Pages 551-556 (October 2003)
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Vol. 54. Issue 8.
Pages 551-556 (October 2003)
Sinusitis complicadas y cirugía endoscópica nasal
Complicated sinusitis and endoscopic sinus surgery
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J.L. Llorente Pendás
Corresponding author
llorentependas@telefonica.net

Correspondencia: C/ J. M. Caso, 14. 33006 Oviedo. Asturias.
, A. Del Campo, P. Pérez Vázquez, A. López Llames, N. Rodríguez Prado, G. Sequeiros, C. Suárez
Hospital Central Universitario De Asturias. Oviedo. Asturias
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Resumen
Introducción

Las sinusitis complicadas pueden tener consecuencias graves si no se tratan adecuadamente. Tradicionalmente, los casos quirúrgicos se han tratado mediante abordajes externos. Actualmente, se puede realizar esta cirugía vía endoscópica.

Objetivo

Este estudio ha sido diseñado para evaluar nuestros resultados en las sinusitis complicadas tratadas con cirugía endoscópica nasal.

Métodos

El estudio revisó 18 pacientes con sinusitis complicadas tratadas por cirugía endoscópica nasal entre 1993 y marzo 2000. Había 12 complicaciones orbitarias y 6 intracraneales. Seis pacientes necesitaron un abordaje quirúrgico adicional.

Resultados

Diecisiete pacientes (94 %) curaron de sus procesos. Un paciente con un síndrome de fisura orbitaria superior murió al mes debido a complicaciones vasculares y respiratorias. Otro paciente con una sinusitis frontal lateral requirió una osteoplastia frontal por enfermedad persistente. Dos pacientes tenían como secuela convulsiones leves. Ninguno de los pacientes tenía secuelas oculares. No hubo complicaciones quirúrgicas.

Conclusión

La cirugía endoscópica nasal es un procedimiento seguro y eficaz en el tratamiento de las sinusitis complicadas. Actualmente, un abordaje sinusal abierto raras veces está indicado.

Palarbas clave:
Sinusitis complicadas
Complicaciones orbitarias
Complicaciones intracraneales
Cirugía endoscópica nasal
Abstract
Background

Complicated sinusitis can result in a significant morbidity if not appropriately managed. Traditionally, surgical cases were treated by external approaches. Now a days, the introduction of endoscopic sinus surgery allows such complications to be endoscopically approached.

Aim

This study was designed to evaluate our results in complicated sinusitis treated by endoscopic sinus surgery.

Methods

The study reviewed 18 patients with evidence of sinusitis complications treated with endoscopic sinus surgery between 1993 and March 2000. There were 12 orbital and 6 intracraneal complications. Six patients did need an additional surgical approach.

Results

Seventeen patients (94%) had a relief of their symptoms. One patient with a superior orbital fisura syndrome died a month later due to vascular and respiratory complications. Another patient with fronto-lateral sinusitis required frontal osteoplasty for persistent disease. Two patients had long-term neurological sequelae (seizure). None had ocular sequelae. There were no complications due to the surgery.

Conclusion

The endoscopic sinus surgery is a safe procedure with a high success rate in the treatment of complicated sinusitis. At present, open approaches to the sinuses are rarely indicated.

Key words:
Complicated sinusitis
Orbital complications
Intracraneal complications
Endoscopic sinus surgery

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