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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Diplopia secondary to septal infiltration anesthesia: two cases
Raşit Midilli1, Melis Palamar, Serdar Akyıldız
1Department of Otolaryngology, Medicine Faculty of Ege University, Izmir, Turkey.
Summary
Two temporary diplopia cases after septoplasty anesthesia resolved spontaneously. Careful anesthetic injection technique is crucial to prevent vascular complications during septoplasty.
Area of Science:
- Ophthalmology
- Anesthesiology
- Otorhinolaryngology
Background:
- Septoplasty is a common surgical procedure to correct nasal septum deviations.
- Local anesthesia infiltration is frequently used for septoplasty, with potential risks.
Observation:
- Two patients developed temporary diplopia, a rare complication, immediately following septal infiltration anesthesia during septoplasty.
- The diplopia resolved spontaneously in both cases without specific intervention.
Findings:
- Diplopia following septal anesthesia can be a transient side effect.
- The mechanism may involve inadvertent anesthetic spread or vascular compromise.
Implications:
- Surgeons must exercise meticulous technique during septal anesthetic injections to avoid intravascular administration.
- Awareness of this potential complication can aid in prompt diagnosis and reassurance of patients.
