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Updated: May 13, 2026
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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Subperiosteal orbital hematoma after balloon sinus dilation
Bryan J Winn1, Patrick Chan, Ronald A Krueger
1*Columbia University College of Physician & Surgeons, New York, New York; †Everett Clinic ENT, Everett; and ‡Allure Facial Laser Center and MediSpa, Kirkland, Washington, U.S.A.
Ophthalmic Plastic and Reconstructive Surgery
|March 8, 2013
Summary
Orbital hematoma, a rare complication, occurred after balloon sinus dilation. This case report suggests microfractures from balloon use may shear orbital venules.
Area of Science:
- Otolaryngology
- Ophthalmology
- Surgical Complications
Background:
- Functional endoscopic sinus surgery (FESS) is a common procedure for chronic rhinosinusitis.
- Balloon sinus dilation (BSD) is an alternative FESS technique gaining popularity.
- Minimally invasive sinus procedures aim to reduce surgical morbidity.
Observation:
- A case of orbital hematoma following BSD is reported.
- The patient developed proptosis and ophthalmoplegia post-procedure.
- Imaging confirmed the presence of an orbital hematoma.
Findings:
- The proposed mechanism involves microfractures in the lamina papyracea.
- Shearing of superior periorbital venules due to these microfractures is hypothesized.
- This leads to orbital hemorrhage and hematoma formation.
Implications:
- This is the first reported case of orbital hematoma associated with BSD.
- Surgeons should be aware of this potential complication.
- Careful balloon technique may mitigate the risk of orbital injury.