Delayed Ocular Motility Restriction After Endoscopic Sinus Surgery in a Patient With Chronic Rhinosinusitis and an Old Medial Orbital Wall Fracture

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jung Suk Kim ◽  
Gyo Han Bae ◽  
Jung Dae Kim ◽  
Woong Jae Noh
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Ocular Motility ◽  
Orbital Wall ◽  
Medial Orbital Wall

scholarly journals Transorbital Endoscopic Identification of Supernumerary Ethmoid Arteries

2016 ◽  
Vol 7 (3) ◽  
pp. ar.2016.7.0167 ◽  
Author(s):  
Angelique M. Berens ◽  
Greg E. Davis ◽  
Kris S. Moe
Keyword(s):  
Optic Nerve ◽  
Skull Base ◽  
Endoscopic Sinus Surgery ◽  
Average Distance ◽  
Total Sample ◽  
Sinus Surgery ◽  
Lateral Nasal Wall ◽  
Orbital Wall ◽  
Medial Orbital Wall ◽  
Anterior Lacrimal Crest

Background Anterior and posterior ethmoid arteries supply the paranasal sinuses, septum, and lateral nasal wall. Precise identification of these arteries is important during anterior skull base procedures, endoscopic sinus surgery, and ligation of ethmoid arteries for epistaxis refractory to standard treatment. There is controversy in the literature regarding the prevalence of supernumerary ethmoid arteries. Objective This study examined the prevalence of supernumerary ethmoid arteries by using direct visualization after transorbital endoscopic dissection. Methods Nineteen cadaveric specimens were evaluated by using a superior lid crease (blepharoplasty) incision and an endoscopic approach to the medial orbital wall. Ethmoid arteries were identified as they pierced the lamina papyracea coplanar with the skull base and optic nerve. The distances from the anterior lacrimal crest to the ethmoid arteries and optic nerve were measured with a surgical ruler under endoscopic guidance. Results Thirty-eight cadaveric orbits were measured. Overall, there were three or more ethmoid arteries (including anterior and posterior arteries) in 58% of orbits, with 8% of the total sample that contained four or more ethmoid arteries. The average number of ethmoid arteries was 2.7. Bilateral supernumerary ethmoid arteries were noted in 42% of the specimens. The distance between the anterior lacrimal crest and the anterior ethmoid, posterior ethmoid, and optic nerve averaged 20, 35, and 41 mm, respectively. The average distance to the supernumerary or middle ethmoid artery was 29 mm. Conclusion This study found supernumerary ethmoid arteries in 58% of cadaveric specimens, a prevalence much higher than previously reported. Recognition of these additional vessels may improve safety during endoscopic sinus surgery and skull base surgery, and may permit more effective ligation for refractory epistaxis originating from the ethmoid system.

Medial orbital protrusion - a potentially hazardous anomaly during endoscopic sinus surgery

1999 ◽  
Vol 113 (8) ◽  
pp. 754-755 ◽  
Author(s):  
J. C. Lim ◽  
P. J. Hadfield ◽  
S. Ghiacy ◽  
N. R. Bleach
Keyword(s):  
Computed Tomography ◽  
High Risk ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Developmental Anomaly ◽  
Sinus Surgery ◽  
Ct Scans ◽  
Orbital Wall ◽  
Medial Orbital Wall

AbstractWe report the case of a 57-year-old patient with a presumed developmental anomaly of the medial orbital wall. The resultant protrusion of orbital contents into the ethmoidal complex was clearly demonstrated on coronal computed tomography (CT) scans of the paranasal sinuses. This anomaly presents a high risk of iatrogenic injury to the medial rectus and orbit during functional endoscopic sinus surgery and has not previously been described.

Medial Orbital Wall Reconstruction to Facilitate Endoscopic Sinus Surgery for Erosive Polypoidal Sinus Disease

2019 ◽  
Vol 35 (1) ◽  
pp. e3-e6
Author(s):  
Megan R. Silas ◽  
Johnathan V. Jeffers ◽  
Asim V. Farooq ◽  
Jacquelynne P. Corey ◽  
Hassan A. Shah
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Sinus Disease ◽  
Orbital Wall ◽  
Medial Orbital Wall

scholarly journals Summary Experience with endoscopic sinus surgery for the blowout fracture of the medial orbital wall

1998 ◽  
Vol 8 (2) ◽  
pp. 157-161
Author(s):  
Manabu Nakanoboh ◽  
Tsuyoshi Matsunaga ◽  
Taichi Furukawa ◽  
Muneo Nakaya ◽  
Satoshi Kitahara
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Blowout Fracture ◽  
Orbital Wall ◽  
Medial Orbital Wall

scholarly journals What is the optimal outcome after endoscopic sinus surgery in the treatment of chronic rhinosinusitis? A consultation of Canadian experts

2021 ◽  
Vol 50 (1) ◽  
Author(s):  
Nadim Saydy ◽  
Sami P. Moubayed ◽  
Marie Bussières ◽  
Arif Janjua ◽  
Shaun Kilty ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Patient Reported Outcome ◽  
Sinus Surgery ◽  
Structured Interviews ◽  
Subjective Data ◽  
Operative Outcomes ◽  
Patient Reported ◽  
Definition Of Success ◽  
Reported Data

Abstract Objectives Many experts feel that in the absence of well-defined goals for success, they have an easier time identifying failure. As success ought to not be defined only by absence of failure, we aimed to define optimal outcomes for endoscopic sinus surgery (ESS) in chronic rhinosinusitis (CRS) by obtaining expert surgeon perspectives. Methods A total of 12 surgeons participated in this targeted consultation. Face to face semi-structured interviews were performed with expert surgeons in the field of CRS and ESS. General impressions and personal definitions of acceptable operative success and optimal operative outcomes were compiled and summarized. Results According to an expert survey, patients’ main objectives are an improvement in their chief complain, a general improvement in quality of life (QoL), and a better overall symptomatic control. The most important aspects of endoscopy for defining a successful intervention were an adequate mucus circulation, a healthy mucosa, minimal edema, and patency of all explored cavities or ostia. In the assessment of surgical outcomes, it was determined that both objective and patient reported data must be carefully examined, with more attention given to subjective outcomes. Conclusions According to data gathered from a Canadian expert consultation, a definition of success must be based on both subjective data and nasal endoscopy. We propose to define an acceptable outcome as either a subjective improvement of at least the minimal clinically improvement difference of a validated patient reported outcome questionnaire, along with a satisfactory endoscopic result (1) or a complete subjective resolution with a sub-optimal endoscopy (2). Graphical abstract

Desmopressin effects on bleeding during functional endoscopic sinus surgery on patients with chronic rhinosinusitis

2021 ◽  
pp. 103024
Author(s):  
Fatemeh Hajimohamadi ◽  
Jawad Hosseini ◽  
Farrokh Heidari ◽  
Sepideh Alvandi ◽  
Shahin Bastaninezhad ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery

Risk factors for postoperative bleeding after endoscopic sinus surgery to treat chronic rhinosinusitis

2021 ◽  
Vol 141 (4) ◽  
pp. 392-396
Author(s):  
Xuemei Qin ◽  
Qing Sun ◽  
Guohui Chen ◽  
Jian Liu ◽  
Tianle Gao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Postoperative Bleeding ◽  
Sinus Surgery

Efficacy of hypertonic (2.3%) sea water in patients with aspirin-induced chronic rhinosinusitis following endoscopic sinus surgery

2019 ◽  
Vol 139 (6) ◽  
pp. 529-535 ◽  
Author(s):  
Aleksandar Perić ◽  
Sandra Vezmar Kovačević ◽  
Aleksandra Barać ◽  
Dejan Gaćeša ◽  
Aneta V. Perić ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Sea Water ◽  
Sinus Surgery

Complications in endoscopic sinus surgery for chronic rhinosinusitis

2011 ◽  
Vol 121 (12) ◽  
pp. 2684-2701 ◽  
Author(s):  
James A. Stankiewicz ◽  
Devyani Lal ◽  
Matthew Connor ◽  
Kevin Welch
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery
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