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Related Experiment Videos

Orbital complications in functional endoscopic sinus surgery

J P Corey1, R Bumsted, W Panje

  • 1Section of Otolaryngology-Head and Neck Surgery, University of Chicago, IL 60637.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|November 1, 1993
PubMed
Summary
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Orbital complications, including hematoma, can occur during endoscopic sinus surgery. This review identified risk factors and suggests enhanced orbital decompression techniques for better patient outcomes.

Area of Science:

  • Otolaryngology
  • Ophthalmology
  • Surgical Complications

Background:

  • Endoscopic sinus surgery (ESS) is a common procedure.
  • Orbital complications, such as retroorbital hematoma, are rare but serious risks associated with ESS.

Observation:

  • A retrospective review of 616 ESS procedures identified eight orbital complications in seven patients.
  • Complications included medial rectus injuries, orbital hemorrhages, and nasolacrimal duct injury.

Findings:

  • Identified predisposing factors: hypertension, lamina papyracia dehiscence, extensive polyps, prior surgery, visualization issues, coughing/sneezing, and steroid use.
  • Current management involves lateral canthotomy, steroids, mannitol, and ophthalmologic consultation; external ethmoidectomy incision is also suggested.

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Implications:

  • Proposed enhanced management includes orbital decompression via periorbital incisions for more effective relief.
  • A decision-making tree for managing orbital complications is presented to guide clinical practice.