Death related to nasal surgery: case report with review of therapy-related deaths

The American Journal of Forensic Medicine and Pathology
Alexander M Tawadros, Joseph A Prahlow

Abstract

The investigation of deaths that are suspected to be related to medical therapy present several challenges for the forensic pathologist. In all such cases, it is important for the pathologist to understand the therapy/procedure that may have played a role in death. As such, review of medical records and possible consultation with various medical specialists before autopsy can provide valuable information to ensure proper evaluation in any given case.Herein, we describe a rare death occurring as a complication of septoplasty, nasal polypectomy, and intranasal endoscopic ethmoidectomy, which are common surgical procedures performed by otolaryngology/head and neck surgeons. An otherwise healthy 58-year-old woman underwent the elective surgical procedures for a deviated nasal septum, multiple nasal polyps, and chronic ethmoid sinusitis. Following surgery, the patient never awoke from general anesthesia, and further evaluation before death revealed a basilar subarachnoid hemorrhage. Autopsy disclosed basilar subarachnoid hemorrhage, a traumatic defect of the right cribiform plate, and associated anterior cerebral artery injury with frontal lobe damage. No vascular anomalies were present. The cause of death was attributed to complica...Continue Reading

References

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Citations

Jul 10, 2013·The Journal of Laryngology and Otology·L D'AscanioF Piazza
Jan 5, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Hayrettin DaşkayaIlknur Haberal Can
Jun 3, 2009·Otolaryngologic Clinics of North America·Jason D BloomStephen A Goldstein
Jul 30, 2019·The American Journal of Forensic Medicine and Pathology·Ivana ČurovićTijana Durmić
Jul 6, 2010·Aesthetic Surgery Journal·Daniel G BeckerJason Bloom
Oct 2, 2020·Journal of the American College of Emergency Physicians Open·Charles Han, Andrew C Meltzer

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