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Updated: Dec 10, 2025
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
511
Pneumocephalus after Orbital Decompression Surgery for Thyroid Eye Disease.
Hossein Ghahvehchian1, Seyyed M Sadrhosseini2, Masoud A Fard1
1Department of Ophthalmology, Farabi Eye Hospital, Tehran University of Medical Science, Tehran, Iran.
Middle East African Journal of Ophthalmology
|September 3, 2020
Summary
A rare complication of orbital surgery, cerebrospinal fluid (CSF) leaks can occur. Endoscopic endonasal repair effectively treated a patient
Area of Science:
- Ophthalmology
- Neurosurgery
- Otolaryngology
Background:
- Cerebrospinal fluid (CSF) leaks are infrequent but serious complications following orbital surgery.
- Thyroid eye disease can necessitate orbital decompression, potentially leading to CSF leakage.
Observation:
- A 49-year-old male experienced CSF leakage after transcaruncular medial wall decompression for thyroid eye disease-related proptosis.
- The patient presented with persistent rhinorrhea indicative of a CSF leak.
Findings:
- An endoscopic endonasal approach was utilized for surgical repair of the orbital defect.
- A nasoseptal flap was employed to reconstruct the defect, successfully sealing the CSF leak.
- Rhinorrhea ceased immediately following the endoscopic surgical repair.
Implications:
- Endoscopic endonasal surgery offers a minimally invasive and effective treatment for post-orbital surgery CSF leaks.
- This approach may reduce patient morbidity and recovery time compared to traditional methods.
- Successful repair highlights the importance of advanced endoscopic techniques in managing complex orbital complications.
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