Orbital hemorrhage during ethmoid sinus surgery.
case_report · Level V
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Abstract
Orbital hemorrhage is an unusual complication of ethmoid surgery. A case of intraoperative orbital hemorrhage occurring during a medial maxillectomy and one occurring during a transethmoid sphenoidotomy are presented. The pathogenesis of this potentially serious complication is discussed. A sequential treatment algorithm is presented, consisting of medial orbitotomy, lateral canthotomy and inferior cantholysis, and inferior orbital decompression, along with concomitant medical management with mannitol, acetazolamide, and dexamethasone.
Medical subject headings
- Ethmoid Sinus
- Eye Hemorrhage
- Intraoperative Complications
- Orbital Diseases