ENT Specialist nose

COMPLICATIONS OF SUBMUCOUS RESECTION SURGERY (SMR)

Immediate:
  1. Hemorrhage.
  2. Tear of the submucosal flaps.
  3. Trauma to surrounding structures such as Turbinates and the Lamina Papyracea.
  4. 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.
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3. Septal abscess: Result from infected septal hematoma.
4. Septal Perforation: It occurs if both the mucoperichondrial flaps are torn at the same site.
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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:
  1. Atrophic Rhinitis.
  2. Flapping Septum: This is due to excessive cartilage removal.
  3. Saddle nose deformity: This occurs due to loss of cartilaginous support over the nasal bridge.
  4.  Columellar retraction: If anterior cartilage strip is removed during surgery this occurs.

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