Top

European Archives of Oto-Rhino-Laryngology

Published in:

01-08-2005 | Rhinology

Internal carotid artery injury during functional endoscopic sinus surgery and its management

Authors: Mark Weidenbecher, Walter J. Huk, Heinrich Iro

Published in: European Archives of Oto-Rhino-Laryngology | Issue 8/2005

Abstract

Rupture of the internal carotid artery (ICA) during functional endoscopic sinus surgery (FESS) is a rare complication, which can potentially result in death. Only a few cases have been reported in the literature thus far. We present four cases with an ICA bleeding during sphenoidotomy. The treatment is discussed and an emergency plan to manage the heavy arterial bleeding is presented.

Dessi P, et al (1994) Major complications of sinus surgery: a review of 1,192 procedures. J Laryngol Otol 108:212–215PubMed

Freedman HM, Kern EB (1979) Complications of intranasal ethmoidectomy: a review of 1,000 consecutive operations. Laryngoscope 89:421–434PubMed

Stevens HE, Blair NJ (1988) Intranasal sphenoethmoidectomy: 10-year experience and literature review. J Otolaryngol 17:254–259PubMed

May M, et al (1994) Complications of endoscopic sinus surgery: analysis of 2,108 patients—incidence and prevention. Laryngoscope 104:1080–1083PubMed

Stankiewicz JA (1989) Complications in endoscopic intranasal ethmoidectomy: an update. Laryngoscope 99:686–690PubMed

Isenberg SF, Scott JA (1994) Management of massive hemorrhage during endoscopic sinus surgery. Otolaryngol Head Neck Surg 111:134–136PubMed

Hudgins PA, et al (1992) Endoscopic paranasal sinus surgery: radiographic evaluation of severe complications. AJNR Am J Neuroradiol 13:1161–1167PubMed

Wigand ME, Hosemann W (1898) Microsurgical treatment of recurrent nasal polyposis. Rhinol [Suppl] 8:25–29

Weber R, et al (1997) Endonasal microendoscopic pansinusoperation in chronic sinusitis. II. Results and complications. Am J Otolaryngol 18:247–253

10.

Maniglia AJ (1989) Fatal and major complications secondary to nasal and sinus surgery. Laryngoscope 99:276–283PubMed

11.

Renn WH, Rhoton AL Jr (1975) Microsurgical anatomy of the sellar region. J Neurosurg 43:288–298

12.

Fujii K, Chambers SM, Rhoton AL Jr (1979) Neurovascular relationships of the sphenoid sinus. A microsurgical study. J Neurosurg 50:31–39

13.

Kennedy DW, Zinreich SJ, Hassab MH (1990) The internal carotid artery as it relates to endonasal sphenoetmoidectomy. Am J Rhinol 4:7–12

14.

Linskey ME, et al (1994) Stroke risk after abrupt internal carotid artery sacrifice: accuracy of preoperative assessment with balloon test occlusion and stable xenon-enhanced CT. AJNR Am J Neuroradiol 15:829–843PubMed

15.

Roski RA, Spetzler RF, Nulsen FE (1981) Late complications of carotid ligation in the treatment of intracranial aneurysms. J Neurosurg 54:583–587

16.

Graves VB, et al (1997) Endovascular occlusion of the carotid or vertebral artery with temporary proximal flow arrest and microcoils: clinical results. AJNR Am J Neuroradiol 18:1201–1206PubMed

17.

Fox AJ, et al (1987) Use of detachable balloons for proximal artery occlusion in the treatment of unclippable cerebral aneurysms. J Neurosurg 66:40–46

18.

Zimmerman MC, et al (1987) Treatment of impending carotid rupture with detachable balloon embolization. Arch Otolaryngol Head Neck Surg 113:1169–1175PubMed

19.

Larson JJ, et al (1995) Treatment of aneurysms of the internal carotid artery by intravascular balloon occlusion: long-term follow-up of 58 patients. Neurosurgery 36:26–30

20.

McIvor NP, et al (1994) Validity of test occlusion studies prior to internal carotid artery sacrifice. Head Neck 16:11–16PubMed

21.

Park AH, et al (1998) A protocol for management of a catastrophic complication of functional endoscopic sinus surgery: internal carotid artery injury. Am J Rhinol 12:153–158

22.

Mathis JM, et al (1995) Temporary balloon test occlusion of the internal carotid artery: experience in 500 cases. AJNR Am J Neuroradiol 16:749–754PubMed

23.

Yamaura A, et al (1978) Secondary aneurysm due to arterial injury during surgical procedures. Surg Neurol 10:327–333PubMed

24.

Rhoton AL Jr, Harris FS, Renn WH (1977) Microsurgical anatomy of the sellar region and cavernous sinus. Clin Neurosurg 24:54–85PubMed

25.

Hollis LJ, et al (1994) Massive epistaxis following sphenoid sinus exploration. J Laryngol Otol 108:171–173PubMed

26.

Wakai S, et al (1980) Traumatic intracavernous aneurysm of the internal carotid artery following surgery for chronic sinusitis. Surg Neurol 13:391–394PubMed

27.

Lister JR, Sypert GW (1979) Traumatic false aneurysm and carotid-cavernous fistula: a complication of sphenoidotomy. Neurosurgery 5:473–475

28.

Weber R, Draf W (1992) Complications of endonasal micro-endoscopic ethmoid bone operation. HNO 40:170–175PubMed

29.

Oeken J, Bootz F (2004) Severe complications after endonasal nasal sinus surgery. An unresolved problem. HNO 52:549–553CrossRefPubMed

30.

Rauchfuss A (1990) Complications of endonasal surgery of the paranasal sinuses. Special anatomy, pathomechanisms, and surgical management. HNO 38:309–316PubMed

Title: Internal carotid artery injury during functional endoscopic sinus surgery and its management
Authors: Mark Weidenbecher
Walter J. Huk
Heinrich Iro
Publication date: 01-08-2005
Publisher: Springer-Verlag
Published in: European Archives of Oto-Rhino-Laryngology / Issue 8/2005
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-004-0888-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Internal carotid artery injury during functional endoscopic sinus surgery and its management

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 8/2005

Multidimensional assessment of functional outcomes of medialization thyroplasty

Lemierre’s syndrome: three cases and a review

Diagnostic evaluation of magnetic resonance imaging with turbo inversion recovery sequence in head and neck tumors

75th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery, Part I (Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirugie (19-23 May 2004, Bad Reichenhall)

Concerning “The role of the CO2 laser in the management of laryngotracheal stenosis: a survey of 100 cases”

The role of the CO2 laser in the management of laryngotracheal stenosis: a survey of 100 cases