scholarly journals A Case of Delayed Retrobulbar Hematoma with Intact Lamina Papyracea after Endoscopic Sinus Surgery

2014 ◽  
Vol 25 (2) ◽  
pp. 240-243
Author(s):  
Kyu-Sup Cho ◽  
Keun-Ik Yi ◽  
Sung-Lyong Hong ◽  
Hwan-Jung Roh
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Lamina Papyracea ◽  
Retrobulbar Hematoma

Orbital Penetration and Endoscopic Sinus Surgery

1993 ◽  
Vol 7 (2) ◽  
pp. 49-52 ◽  
Author(s):  
Barry Schaitkin ◽  
Sara J. Mester ◽  
Mark May
Keyword(s):  
Subcutaneous Emphysema ◽  
Endoscopic Sinus Surgery ◽  
Medical Records ◽  
Middle Turbinate ◽  
Uncinate Process ◽  
Sinus Surgery ◽  
Front Face ◽  
Lamina Papyracea ◽  
Retrobulbar Hematoma ◽  
Anterior Ethmoid Artery

We reviewed medical records of 910 patients on whom we performed 1600 endoscopic sinus procedures between June 1987 and December 1991 to determine the incidence of orbital penetration during endoscopic sinus surgery. We examined this incidence in relation to the area of the orbit penetrated, sequelae, and responsible surgical maneuver during the procedure. Orbital entry was documented in 33 procedures in 32 patients. All procedures were videotaped and these tapes were reviewed. The area of the orbit most often violated was anterior to the anterior ethmoid artery and the front face of the ethmoid bulla. No sequelae occurred in 12 patients, preseptal periorbital ecchymosis occurred in 17 cases, subcutaneous emphysema occurred in 3 cases, and the only serious sequelae, retrobulbar hematoma, occurred with violation of the lamina papyracea in the region of the anterior ethmoid artery in 1 case. We found that complications occurred most often with removal of the uncinate process in patients with a deviated septum and a lateralized middle turbinate. In such patients, for uncinectomy, we deflect the uncinate process medially with a curved ball probe placed through the semilunar hiatus and directed into the infundibulum. With this revision of our technique for removal of the uncinate process, the incidence of orbital penetration dropped to zero.

Anatomical Factors that Can Predict the Structure of Lamina Papyracea for Endoscopic Sinus Surgery

2020 ◽  
Vol 131 (1) ◽  
Author(s):  
Shinya Ohira ◽  
Kentaro Matsuura ◽  
Hidehito Matsui ◽  
Mitsuto Nakamura ◽  
Kazuhisa Kamiyama ◽  
...  
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Lamina Papyracea

Endoscopic Sinus Surgery and Postoperative Intravenous Aminoglycosides in the Treatment of Atrophic Rhinitis

1998 ◽  
Vol 12 (5) ◽  
pp. 325-334 ◽  
Author(s):  
Rong-san Jiang ◽  
Chen-yi Hsu ◽  
Clayton chi-chang Chen ◽  
Yee-jee Jan ◽  
Jinq-wen Jang
Keyword(s):  
Antibiotic Therapy ◽  
Endoscopic Sinus Surgery ◽  
Major Complication ◽  
The Other ◽  
Sinus Surgery ◽  
Atrophic Rhinitis ◽  
Retrobulbar Hematoma ◽  
Prior Surgery ◽  
Intranasal Surgery

A total of 29 atrophic rhinitis patients were treated by endoscopic sinus surgery between 1990 and 1995. After the surgery, a 7 to 10-day course of systematic aminoglycoside was administered. Two cases were excluded, due to later occurrence of nasal lymphoma in one patient and incompleteness of postoperative antibiotic therapy in the other. Among those included, atrophic rhinitis occurred in the absence of prior surgery in 24 patients, and the condition was secondary to a previous intranasal surgery in the other three patients. After a 1 to 6-year follow-up (mean: 63.4 months), seven patients were successfully managed without any characteristic symptom or sign of atrophic rhinitis. Another 18 patients felt improved. Only two patients did not have any improvement. The rate of improvement was 92.6%. Overall, one patient suffered from a left retrobulbar hematoma after operation. Exposed orbital fat was observed in the other patient. The orbital complication rate was therefore 7.4%. No other major complication occurred in this series. The bacteriologic, radiological, antroscopic, and pathologic findings are also included here. It is concluded that endoscopic sinus surgery in combination with adequate postoperative antibiotic therapy can significantly treat atrophic rhinitis.

Endoscopic Sinus Surgery for Adenocarcinoma: Possibilities, Results, and Limitations

Skull Base ◽  
2005 ◽  
Vol 15 (S 2) ◽  
Author(s):  
Mark Jorissen ◽  
S. Bogaerts ◽  
V. Poorten
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery

A Case of Vidian Nerve Schwannoma: Resection by Endoscopic Sinus Surgery

2014 ◽  
Vol 57 (1) ◽  
pp. 50 ◽  
Author(s):  
Hyun Pyo Hong ◽  
Sung Won Yoon ◽  
Min Joon Park ◽  
Soo-Chan Jung
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Vidian Nerve
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