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Updated: Jul 7, 2026

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Oculomotor nerve palsy after functional endoscopic sinus surgery.

E Chng1, C-C Yip, J C Y Lee

  • 1Eye Institute, National Health Care Group, Tan Tock Seng Hospital, Singapore. echng@hotmail.com

The Journal of Laryngology and Otology
|February 7, 2008
PubMed
Summary

This study details a rare case of partial oculomotor nerve palsy after functional endoscopic sinus surgery. The palsy occurred without direct injury to eye muscles, prompting investigation into its causes.

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Area of Science:

  • Ophthalmology
  • Neurosurgery
  • Otorhinolaryngology

Background:

  • Functional endoscopic sinus surgery (FESS) is a common procedure for sinonasal diseases.
  • Oculomotor nerve (cranial nerve III) palsy is a rare but serious complication following head and neck surgery.
  • Understanding potential neurological complications of FESS is crucial for patient safety.

Observation:

  • A patient developed partial oculomotor nerve palsy post-FESS.
  • The palsy presented without evidence of anatomical damage to extra-ocular muscles.
  • Clinical presentation and progression of the palsy were closely monitored.

Findings:

  • The oculomotor nerve palsy was confirmed to be an unusual sequela of FESS.
  • Pathogenic mechanisms, potentially involving inflammatory or ischemic processes, were explored.

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  • Absence of direct anatomical disruption suggests a non-traumatic etiology.
  • Implications:

    • Highlights the importance of considering neurological complications after FESS.
    • Suggests the need for further research into the pathophysiology of nerve palsies post-sinus surgery.
    • Informs surgical planning and patient counseling regarding potential risks of FESS.