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.
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5. Anesthesia complications like cardiac arrhythmias, hypertension.
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:
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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