IMEMR
EMRO
66.92
Index Copernicus
ICICICICICICICIC
Volume 5, Issue 1 (2024)
J Clinic Care Skill 2024, 5(1): 1-4 |
Back to browse issues page
Article Type:
History
Received: 2023/11/8 | Accepted: 2024/01/11 | Published: 2024/02/21
Received: 2023/11/8 | Accepted: 2024/01/11 | Published: 2024/02/21
How to cite this article
Ganjali H, Attaran H, Hedjazi A, Chavoshi H. Lethal Intracranial Injury as a Complication of Septorhinoplasty; A Case Report. J Clinic Care Skill 2024; 5 (1) :1-4
URL: http://jccs.yums.ac.ir/article-1-219-en.html
URL: http://jccs.yums.ac.ir/article-1-219-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Rights and permissions
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
1- Legal Medicine Research Center, Tehran, Iran
Abstract (594 Views)
Aims: Nasal septoplasty is one of the most frequently performed surgical procedures with several common and uncommon complications. Although rare, intracranial adverse events of septorhinoplasty are life-threatening, and there are few case reports of fatal intracranial complications.
Patient & Methods: A healthy 47-year-old woman underwent septorhinoplasty, then had a decreased level of consciousness and finally died due to subarachnoid and intraventricular hemorrhage caused by a bone fragment isolated from the fractured sphenoid sinus.
Findings: The complication was attributed to the surgeon's carelessness, and he was considered liable for patient death due to medical negligence.
Conclusion: Surgeon experience in septoplasty surgery is essential, and meticulous attention to anatomical landmarks is paramount to prevent a serious outcome that may lead to patient death and surgeon conviction.
Patient & Methods: A healthy 47-year-old woman underwent septorhinoplasty, then had a decreased level of consciousness and finally died due to subarachnoid and intraventricular hemorrhage caused by a bone fragment isolated from the fractured sphenoid sinus.
Findings: The complication was attributed to the surgeon's carelessness, and he was considered liable for patient death due to medical negligence.
Conclusion: Surgeon experience in septoplasty surgery is essential, and meticulous attention to anatomical landmarks is paramount to prevent a serious outcome that may lead to patient death and surgeon conviction.
Keywords:
References
1. Watters C, Brar S, Yapa S. Septoplasty. Treasure Island, FL: StatPearls; 2021. [Link]
2. Alotaibi AD. The common complications after septoplasty and septorhinoplasty: A report in a series of 127 cases. Int J Otolaryngol Head Neck Surg. 2017;6(6):71-8. [Link] [DOI:10.4236/ijohns.2017.66010]
3. Ahmed Youssef SA, Ahmed Aly Ibrahim, Mulvihill Daniel, Hisham M. Abdelfattah, Haitham Morsi. Traumatic cerebrospinal fluid leakage following septorhinoplasty. Arch Plast Surg 2018;45(4):379-83. [Link] [DOI:10.5999/aps.2017.00913]
4. Najari F, Ghadipasha M, Alimohammadi A, Kayal IB, Saravani K. A case report of intracranial complication following. Iran Red Crescent Med J. 2017;19(10):e13905. [Link] [DOI:10.5812/ircmj.13905]
5. Tawadros AM, Prahlow JA. Death related to nasal surgery. Am J Forensic Med Pathol. 2008;29(3):260-4. [Link] [DOI:10.1097/PAF.0b013e3181832432]
6. Peyvandi A, Roozbahany NA. Skull base injury leading to death after conventional septoplasty. Am J Forensic Med Pathol. 2013;34(1):5-6. [Link] [DOI:10.1097/PAF.0b013e3182518e31]
7. Bateman N, Woolford T. Informed consent for septal surgery: the evidence-base. J Laryngol Otol. 2003;117(3):186-9. [Link] [DOI:10.1258/002221503321192476]
8. Günaydın RÖ, Özer S, Süslü N, Yücel ÖT. Sphenoid sinus injury leading pneumocephalus as a complication of conventional septoplasty. Turk Arch Otolaryngol. 2014;52:70-3. [Link] [DOI:10.5152/tao.2014.143]
9. Gray ST, Wu AW. Pathophysiology of iatrogenic and traumatic skull base injury. Adv Otorhinolaryngol. 2013;74:12-23. [Link] [DOI:10.1159/000342264]
10. Ali A, Kurien M, Shyamkumar NK, Selvaraj. Anterior skull base: High risk areas in endoscopic sinus surgery in chronic rhinosinusitis: A computed tomographic analysis. Indian J Otolaryngol Head Neck Surg. 2005;57(1):5-8. [Link] [DOI:10.1007/BF02907616]