Nose Treatment

COMPLICATIONS OF SUBMUCOUS RESECTION SURGERY (SMR)

Immediate:

  • Hemorrhage.
  • Tear of the submucosal flaps.
  • Trauma to surrounding structures such as Turbinates and the Lamina Papyracea.
  • CSF rhinorrhea leak due to damage to the cribriform plate.
  • Anesthesia complications like cardiac arrhythmias, hypertension.
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Delayed:
  • 1.Reactionary hemorrhage: This occurs due the wearing off effect of adrenaline and usually occurs within the first 48 hours after surgery.
  • 2. Septal hematoma.
  • 3. Septal abscess: Result from infected septal hematoma.
  • 4. Septal Perforation: It occurs if both the mucoperichondrial flaps are torn at the same site.
  • 5. Meningitis: Infection can spread via the ophthalmic veins or cribriform plate causing meningitis or brain abscess.
  • 6. Pain may persist for a few weeks in a few cases.
  • 7. Septal adhesion and synechiae formation.
Late:
  • Atrophic Rhinitis.
  • Flapping Septum: This is due to excessive cartilage removal.
  • Saddle nose deformity: This occurs due to loss of cartilaginous support over the nasal bridge.
  • Columellar retraction: If anterior cartilage strip is removed during surgery this occurs.

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