Blindness and Intranasal Endoscopic Ethmoidectomy: Prevention and Management

Blindness is one of the major complications that can occur during and after Intranasal ethmoidectomy. Two mechanisms for blindness are apparent: (1) direct injury to the optic nerve and (2) retrobulbar (orbital) hematoma, which incresaes orbital pressure and compromises vascular supply and drainage to and from the eye. While several publications have discussed the management of blindness from a delayed operative vantage point, no publication has discussed the immediate management of blindness from intraoperative or immediate postoperative occurrence, stressing specific medical and surgical treatment. A review of the literature and the author's personal experience will be used as a basis to discuss the prevention and management of blindness during endoscopic Intranasal ethmoidectomy. Case studies will be used to Illustrate methods for prevention and management of blindness. If treated aggressively, blindness associated with retrobulbar hematoma can be reversed medically.

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Two Stage Surgical Treatment of Cuboid Osteomyelitis. A Case Report and Review of the Literature

The Foot ◽

10.1016/j.foot.2021.101796 ◽

2021 ◽

pp. 101796

Author(s):

Elias S. Vasiliadis ◽

Christos Vlachos ◽

Angelos Antoniades ◽

Eftychios Papagrigorakis ◽

Matthaios Bakalakos ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Review Of The Literature ◽

Two Stage

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Choroidal microvasculature dropout is spatially associated with optic nerve head microvasculature loss in open-angle glaucoma

Scientific Reports ◽

10.1038/s41598-021-94755-8 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Min Kyung Song ◽

Joong Won Shin ◽

Jin Yeong Lee ◽

Ji Wook Hong ◽

Michael S. Kook

Keyword(s):

Optic Nerve ◽

Optic Nerve Head ◽

Optical Coherence Tomography Angiography ◽

Open Angle Glaucoma ◽

Spatial Relationship ◽

Vascular Supply ◽

Open Angle ◽

Regression Analyses ◽

Angular Extent ◽

Choroidal Vessels

AbstractThe presence of parapapillary choroidal microvasculature dropout (CMvD) may affect optic nerve head (ONH) perfusion in glaucoma patients, since parapapillary choroidal vessels provide vascular supply to the neighboring ONH. However, it remains to be determined whether the presence of parapapillary CMvD is associated with diminished perfusion in the nearby ONH. The present study investigated the spatial relationship between CMvD and ONH vessel density (ONH-VD) loss in open-angle glaucoma (OAG) eyes using optical coherence tomography angiography (OCT-A). This study included 48 OAG eyes with a single localized CMvD confined to the inferotemporal parapapillary sector and 48 OAG eyes without CMvD, matched for demographic and ocular characteristics. Global and regional ONH-VD values were compared between eyes with and without CMvD. The relationships between ONH-VD outcomes and clinical variables were assessed. ONH-VDs at the inferotemporal ONH sectors corresponding to the CMvD location were significantly lower in eyes with compared to those without CMvD. Multivariable linear regression analyses indicated that a lower inferotemporal ONH-VD was independently associated with CMvD presence and a greater CMvD angular extent (both P < 0.05). The localized presence of parapapillary CMvD in OAG eyes is significantly associated with ONH-VD loss in the neighboring ONH location, with a spatial correlation.

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Diagnosis and Surgical Treatment of Uterine Isthmus Atresia: A Case Report and Review of the Literature

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2020.07.026 ◽

2020 ◽

Author(s):

Núria Carreras ◽

Cristian de Guirior ◽

Meritxell Munmany ◽

Mariona Rius ◽

Roser Nonell ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Review Of The Literature

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Dermatofibrosarcoma protuberans of the foot ?surgical treatment with defect covering by radial forearm flap Report of a case with review of the literature

European Journal of Plastic Surgery ◽

10.1007/bf00209815 ◽

1991 ◽

Vol 14 (2) ◽

Cited By ~ 3

Author(s):

M.G. Smola ◽

E. Scharnagl ◽

G. Pierer ◽

B. Hellbom

Keyword(s):

Surgical Treatment ◽

Dermatofibrosarcoma Protuberans ◽

Radial Forearm Flap ◽

Review Of The Literature ◽

Forearm Flap ◽

Radial Forearm

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Surgical Treatment of Exstrophy of The Bladder With Emphasis on Neonatal Primary Closure: Personal Experience With 28 Consecutive Cases Treated at the University of Washington Hospitals From 1962 to 1977: Techniques and Results

The Journal of Urology ◽

10.1016/s0022-5347(05)64893-8 ◽

2002 ◽

Vol 168 (1) ◽

pp. 214-217 ◽

Cited By ~ 1

Author(s):

Julian S. Ansell

Keyword(s):

Surgical Treatment ◽

Personal Experience ◽

Primary Closure ◽

University Of Washington ◽

The University ◽

Exstrophy Of The Bladder

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Mitotically active cellular luteinized thecoma of the ovary and luteinized thecomatosis associated with sclerosing peritonitis: Case studies, comparison, and review of the literature

Pathology - Research and Practice ◽

10.1016/j.prp.2010.07.001 ◽

2010 ◽

Vol 206 (11) ◽

pp. 744-748 ◽

Cited By ~ 9

Author(s):

Jan Roar Mellembakken ◽

Vibeke Engh ◽

Tom Tanbo ◽

Bernard Czernobilsky ◽

Evgeny Edelstein ◽

...

Keyword(s):

Case Studies ◽

Review Of The Literature ◽

Sclerosing Peritonitis

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Surgical treatment of neuroendocrine tumors in the second portion of the duodenum: a single center experience and systematic review of the literature

Langenbeck s Archives of Surgery ◽

10.1007/s00423-016-1537-6 ◽

2016 ◽

Vol 402 (6) ◽

pp. 925-933 ◽

Cited By ~ 12

Author(s):

Toshimitsu Iwasaki ◽

Satoshi Nara ◽

Yoji Kishi ◽

Minoru Esaki ◽

Kazuaki Shimada ◽

...

Keyword(s):

Systematic Review ◽

Surgical Treatment ◽

Neuroendocrine Tumors ◽

Review Of The Literature ◽

Single Center ◽

Single Center Experience

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Complications of Transsphenoidal Surgery: Results of a National Survey, Review of the Literature, and Personal Experience

Neurosurgery ◽

10.1097/0006123-199702000-00001 ◽

1997 ◽

Cited By ~ 1

Keyword(s):

National Survey ◽

Personal Experience ◽

Transsphenoidal Surgery ◽

Review Of The Literature ◽

Survey Review

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Renal Cell Carcinoma with Synchronous Metastasis to the Calcaneus and Metachronous Metastases to the Ovary and Gallbladder

Case Reports in Medicine ◽

10.1155/2011/671645 ◽

2011 ◽

Vol 2011 ◽

pp. 1-4 ◽

Cited By ~ 11

Author(s):

Jasper Decoene ◽

Filip Ameye ◽

Evelyne Lerut ◽

Raymond Oyen ◽

Hein Van Poppel ◽

...

Keyword(s):

Renal Cell Carcinoma ◽

Surgical Treatment ◽

Cell Carcinoma ◽

Renal Cell ◽

Review Of The Literature ◽

Synchronous Metastasis ◽

Renal Cell Carcinomas ◽

Gallbladder Metastasis ◽

Metachronous Metastases ◽

Systemic Therapies

Renal cell carcinomas (RCCs) are known for their unpredictable metastatic pattern. We present the case of a 63-year-old woman who initially presented in 1992 with a metastasis in the left calcaneus that led to the discovery of RCC. In 1998, a new metastasis was found in the ovary. In 2008, the diagnosis of a gallbladder metastasis was made. All metastases were surgically removed; no additional systemic therapies were used. Aggressive surgical treatment can prolong the survival of patients with resectable metastases. Patterns of metastasis are discussed, and a brief review of the literature is given regarding each localization.

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