First of all, we need to clarify what is meant by surgical complications. Surgical complications refer to damage caused by the surgery itself, such as accidental injury to surrounding organs, causing certain functional deficiencies, failure or unsatisfactory reconstruction of certain functions, infection in the surgical area, etc. The common complications of nasal endoscopic surgery usually occur in the eye, intracranial and nasal cavity, although the incidence is not high, we should not take it lightly. Let’s take a look at what are the following.
1. Eye complications: 1. periorbital bruising, when the surgeon should be notified immediately to withdraw the nasal stuffing and apply local cold compresses to the orbit to reduce the continued exudation of blood, and switch to hot compresses after 24 hours to allow the hematoma to gradually absorb and subside.
2. Severe periorbital complications can lead to diplopia, blurred vision, vision loss or even blindness, along with conjunctival congestion and edema, swelling and protrusion of the eyeball. Seek medical attention immediately if any of the above conditions occur.
Second, intracranial complications: 1. Cerebrospinal fluid nasal leakage is a relatively common intracranial complication. Long-term cerebrospinal fluid nasal leakage is likely to cause hypocranial pressure headache and intracranial infection. Because there is a filling in the patient’s nasal cavity within 48 hours after surgery, cerebrospinal fluid nasal leakage is mostly not detected in time. When the stuffing is withdrawn, if clear water-like liquid or clear blood flows from the nasal cavity, and there is an increase in flow when the head is lowered and exerted or when the neck vein is compressed, this suggests the possibility of cerebrospinal fluid nasal leakage, and the doctor should be informed immediately.
2. Intracranial hemorrhage is a rare but serious complication. Patients may show headache, numbness of limbs and convulsions, etc. If symptoms appear, inform the doctor promptly.
3. Nasal complications: 1. Severe nasal bleeding: a certain amount of bleeding after surgery is normal, but severe bleeding is a complication, which can lead to anemia or even shock in patients. Within 24 hours after surgery is the high bleeding period. Severe bleeding is manifested by continuous fresh blood dripping from the nostrils, repeated vomiting of blood or blood clots from the mouth, or frequent swallowing. If you have these severe bleeding phenomena, inform your doctor promptly.
2. Nasal adhesions: Although nasal adhesions do not have serious consequences for patients, the adhesions affect nasal ventilation and sinus drainage, thus causing recurrence of sinusitis after surgery and greatly reducing the effectiveness of surgery and treatment. The reasons for the formation of nasal adhesions are complex and include, in addition to surgical skill factors, nasal stenosis, concomitant nasal septal deviation and inferior turbinate hypertrophy, postoperative mucosal edema, and inflammatory granulation tissue proliferation in each patient; patients’ failure to adhere to medication before and after surgery; and failure to adhere to postoperative review and nasal clearance.