Preoperative Informed Consent for Cerebrospinal Fluid Leaks and Orbital Complications Is Essential to Performing Endoscopic Sinus Surgery

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  • Hosoya Kei
    Department of Otorhinolaryngology, Nippon Medical School, Tokyo, Japan
  • Komachi Taro
    Department of Otorhinolaryngology, Nippon Medical School, Tokyo, Japan
  • Asaka Daiya
    Department of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan
  • Kodama Satoru
    Department of Otolaryngology, Oita University Faculty of Medicine, Oita, Japan
  • Kobayashi Masayoshi
    Department of Otorhinolaryngology-Head and Neck Surgery, Mie University Graduate School of Medicine, Mie, Japan
  • Nakagawa Takayuki
    Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan
  • Ito Shin
    Department of Otolaryngology, Faculty of Medicine, Juntendo University, Tokyo, Japan
  • Yokoi Hidenori
    Department of Otolaryngology, Head and Neck Surgery, Kyorin University School of Medicine, Tokyo, Japan
  • Kyo Yoshiyuki
    Departments of Otorhinolaryngology, School of Medicine, Showa University, Tokyo, Japan
  • Asako Mikiya
    Department of Otolaryngology, Head and Neck Surgery, Kansai Medical University, Hirakata, Japan
  • Okubo Kimihiro
    Department of Otorhinolaryngology, Nippon Medical School, Tokyo, Japan

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Other Title
  • 内視鏡下副鼻腔手術のインフォームド・コンセントにおける手術説明に関するアンケート調査～眼窩損傷・髄液漏の説明の重要性～

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Abstract

<p>Objectives: The objective of this study was to determine the information that physicians should provide to the patients as part of the required informed consent before having the endoscopic sinus surgery.Methods: The survey was administered to the physicians in ten different Japanese University Hospitals. The physicians comprehensively answered the nine items in the questionnaire pertaining to their discussion with the patients prior to surgery and their experience with medical complications over the previous 3 years.Results: Cerebrospinal fluid leaks and orbital complications were explained by all physicians prior to surgery. Complications occurred in 21 cases (0.3%). There were 13 cases (0.18%) of orbital complications, 5 cases (0.07%) of cerebrospinal fluid leaks, and 3 cases (0.04%) of excessive perioperative bleeding. There were no cases of blindness.Conclusion: The percentage of complications is very low in endoscopic sinus surgery. However, cerebrospinal fluid leaks and orbital complications are very severe complications. Hence, physicians should provide a further a thorough explanation to the patients of the potential for these complications prior to surgery.</p>

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