James G. Krings|Dorina Kallogjeri|Andre Wineland|Kenneth G. Nepple|Jay F. Piccirillo|Anne E. Getz
Complications of primary and revision functional endoscopic sinus surgery for chronic rhinosinusitis
Washington University in St. Louis|Stanford University|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis
objectiveshypothesis goal study determine incidence major complications following primary revision functional endoscopic sinus surgery fess addition study aimed determine factors associated occurrence complications including patient provider characteristics use image guidance system igs technology study design retrospective cohort analysis california florida allpayer databases 2005 2008 methods rates major surgical complications skull base orbital hemorrhagic primary revision fess calculated bivariate analyses performed investigate relationships complications demographic clinical characteristics multivariate model used determine risk factors occurrence major complications results among 78944 primary fess cases 288 major complications identified representing complication rate 036 95 ci 032040 major complication rate following revision cases n 19 046 primary cases n 288 036 similar 126 95 ci 079200 multivariate analysis showed patients gt40 years old primary payer medicaid surgery involving frontal sinus image guidance surgery higher risk major complications conclusion rate major complications 036 associated primary fess lower earlier reports rate major complications following revision fess 046 found similar primary cases igs insurance status age extent surgery found associated increased risk major complications following fess level evidence 2c laryngoscope 124838845 2014