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https://hdl.handle.net/2440/16645
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Type: | Journal article |
Title: | The incidence of complications after canine fossa puncture performed during endoscopic sinus surgery |
Author: | Robinson, S. Baird, R. Le, T. Wormald, P. |
Citation: | American Journal of Rhinology and Allergy, 2005; 19(2):203-206 |
Publisher: | Ocean Side Publications Inc |
Issue Date: | 2005 |
ISSN: | 1945-8924 1050-6586 |
Abstract: | <h4>Background</h4>Patients with extensive disease affecting the maxillary sinus may require a canine fossa approach for complete removal of disease. This study was designed to determine the complications associated with this procedure.<h4>Methods</h4>We performed a retrospective study of 21 patients who had undergone a canine fossa puncture at an academic hospital complex in Adelaide, Australia.<h4>Results</h4>A total of 37 canine fossa punctures were made in 21 patients. Twenty-eight of the 37 (75.7%) sides in which a canine fossa puncture was performed experienced a complication. The most common complaint was of cheek swelling in 14 (38%) followed by facial pain in 12 (32%), facial numbness in 11 (30%), cheek pain in 10 (27%), dental numbness in 10 (27%), gingival complications in 9 (24%), and facial tingling in 6 (16%) of sides. Most complications (75.5%) resolved within the 1st month after surgery. Six patients (28.6%) had persistent complications with facial tingling in 3 patients (50%) followed by facial numbness and tingling in 1 patient (11%), facial numbness alone in 1 patient (8.3%), and facial pain in 1 patient (7.1%).<h4>Conclusion</h4>Canine fossa antrostomy is a technique that provides additional access to the maxillary sinus. Surgeons need to be aware that, although minor, a significant number of patients will experience both transient and long-term complications. |
Keywords: | Maxillary Sinus Humans Paranasal Sinus Diseases Maxillary Sinusitis Facial Pain Hypesthesia Endoscopy Punctures Retrospective Studies Adult Middle Aged Female |
DOI: | 10.1177/194589240501900215 |
Published version: | http://dx.doi.org/10.1177/194589240501900215 |
Appears in Collections: | Aurora harvest 6 Surgery publications |
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