Lessons Learned from Rhinologic Procedure Complications

Rakesh ChandraOtolaryngology-Head and Neck SurgeryRhinology, Sinus, & Skull Base SurgeryVanderbilt University Medical CenterNashville, TN 37232USA
Dr. Chandra is Professor and Division Chief for Rhinology & Skull Base Surgery at Vanderbilt University Medical Center, where he is holder of the Endowed Directorship in Leadership and Educational Development. He has served the American Rhinologic Society as Course Director for multiple CME conferences, and as a member of the society's board. Dr. Chandra has served as Editor-in-Chief of the American Journal of Rhinology and Allergy and as an oral examiner for the American Board of Otolaryngology. He earned his undergraduate degree from Virginia Tech, Doctor of Medicine from the University of Maryland, and Masters in Business from Vanderbilt's Owen Graduate School of Management. Dr. Chandra did his residency training at Northwestern University and a Fellowship in Rhinology & Skull Base Surgery at the University of Pennsylvania. He has over 150 peer reviewed publications.

Kevin C. WelchOtolaryngology-Head and Neck SurgeryNorthwestern University Feinberg School of MedicineChicago, IL 60611USA
Dr. Welch is an Associate Professor of Otolaryngology at Northwestern University, Feinberg School of Medicine where he also serves as a member of the Physician Advocacy Group. He currently is the Treasurer and member of the Executive Committee of the American Rhinologic Society and former Course Director for multiple regional and international CME/Educational conferences. He is a Board Member of the International Forum of Allergy & Rhinology and serves as an Associate Editor for the journal as well. He earned his undergraduate degree from the University of Pennsylvania and his Doctor of Medicine from MCP-Hahnemann University School of Medicine. Dr. Welch completed his residency in Otolaryngology at the University of Maryland and his fellowship in Rhinology & Skull Base Surgery at the University of Pennsylvania.

Section I: The Orbit.- Simple Orbitotomy.- Orbital Hematoma: Acute.- Orbital Hematoma: Delayed.- Extraoccular Muscle Injury.- Silent Sinus Syndrome.- Section II: The Skull Base.- CSF Leak in the Ethmoid.- CSF Leak in the Sphenoid/Stella- CSF Lean in an Unusual Location.- Pneumocephalus.- Intracranial Injury.- Section III: Surgical Bleeding: Generalized Bleeding.- Sphenopalatine Artery.- Anterior Ethmoid Artery.- Carotid Artery Injury.- The Anticoagulated Patient.- Section IV: Surgical Healing.- Synechiae.- Ostial Stenosis.- Middle Turbinate Lateralization.- Intraoperative Decision Making.-  I should Have Used Packing/Stent.- I Shouldn't have Put that In.- I Could Have Done Better with Navigation.- I Shouldn't Have Relied on Navigation.