Nasal Polyps

... A Pioneer Technique

Informed Consent

The use of dermoplasty for the treatment of recurrent polyps is a very

demanding technique and an extended application of endoscopic sinus


It is reasonable that certain complications may ensue from its application.

Our medical team is obliged to inform with honesty the patients about the

possibility of these complications.


Dermoplasty complications

- Nose bleed. Usually 7 to 10 days after the operation. It may ensue

without any obvious cause or following sneezing or physical activity.

- Cerebrospinal fluid rhinorrhea. It may happen during the operation and

if recognized it must be treated immediately. Meningitis is an extreme


- Trauma of the orbit which may result in diplopia.

- Trauma of the optic nerve with vision loss.

- Trauma of the anterior ethmoidal artery which may result in hematoma

formation and vision loss.

- Impairment or loss of smell and subsequent impairment of taste.

- Foul odor due to the insertion of the skin graft inside the nose. It usually

lasts for several months and is treated with intranasal insertion of drops

and ointment.

All these complications can be prevented to a high degree by an

experienced and cautious medical team, receiving a detailed and honest

medical history, combined with the compliance of the patient to the pre-

and post-operative instructions.


Information regarding Anaesthesia

The administration of anaesthesia today is a very safe practice, performed

by specialized and experienced doctors. It is necessary not only in order

to perform a surgical operation, but also for the optimization of

perioperative care (ie management of co-morbidities, fine tuning of

postoperative care). However, in certain rare occasions, unwanted

incidents may occur. These may be simple (such as rupturing a vein

during drip sitting) or more severe, such as the death of the patient (as

may occur in the case of an unknown, severe and irreversible allergic

reaction to an anaesthetic drug or any other agent used during the

operation or the perioperative period). Anaesthesiologists are trained in

effectively managing such events, which are usually reversed before the

patient leaves the operating theatres area. In certain cases, admitted the

patient to the Intensive Care Unit may be necessary, so that his /her life

and general well being are best restored. Some (but not all) of the most

serious adverse effects and complications during anaesthesia may include

(but are not restricted to) the following:


1. Allergic reaction(s) to the drugs or any other agent used before, during

or after the surgical operation

2. Regurgitation and aspiration of gastric contents, which may in turn

cause Adult Respiratory Distress Syndrome

3. Worsening of respiratory function, especially in patients with pre-

existing respiratory impairment

4. Lesions of the respiratory tract, ranging from simple pharyngalgia

(pain during swallowing) to the inability to ventilate and oxygenate the

brain, resulting in the death of the patient

5. Cardiac arrest

6. Worsening of cardiac function, especially in patients with pre-existing

cardiac impairment

7. Worsening of hepatic and / or renal function, especially in patients with

pre-existing impairment of these organs

8. Venous thrombosis and / or pulmonary embolism

9. Air, fat or foreign body embolism

10. Cerebrovascular incident (bleeding or thrombosis of the brain


11. Confusion (postoperative delirium), especially in predisposed

individuals (ie elderly patients)

12. Lesions of the oesophagus (the swallowing tract)

13. Mouth trauma (lips, teeth, tongue)

14. Electric burns, due to malfunction of the grounding appliances

15. Incidents related to malfunction or bad maintenance of the

anaesthesia machine, monitoring equipment or other appliances used

during the administration of anaesthesia

16. Falling of the patient off the operating table, resulting in his / her


17. Awareness during anaesthesia (recollection of part or all of what

happened while the patient was under anaesthesia)

18. Nausea and /or vomiting


In order to manage your case safely and effectively, it is mandatory that

you communicate with your anaesthesiologist as early as possible before

your planned surgery. You should provide honest and precise information

to the questions you will be asked (see also the relevant form), and you

will also be given information regarding:


• The planned anaesthesia

• The possible alternative approaches

• The advantages and disadvantages of every option

• The specific complications related to each technique (ie damage to the

vocal cords that may have an effect on vocation)

• The estimated time of recovery from the anaesthetic

You may also request information on other matters, such as:

• When should you expect to "wake up"

• When will you be allowed to drink or eat

• When will you be able to walk

• When will you be allowed to leave the hospital

• Or you may need more information regarding the anaesthetic plan


Your anaesthesiologist works towards the provision of holistic care,

aiming at providing you with a safe, comfortable and pain- free

perioperative experience. We welcome you on board!


I have taken note and accept the above terms.


The patient                                                               The cognate


Download the full consent article here (Consent)