Orbital hemorrhage during ethmoid sinus surgery.
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.
Thompson
R F
RF
Department of Otolaryngology and Maxillofacial Surgery, University of Cincinnati Medical Center, OH 45267-0528.
Gluckman
J L
JL
Kulwin
D
D
Savoury
L
L
D000086:Acetazolamide / Q000627:therapeutic use; D000328:Adult; D003131:Combined Modality Therapy; D003907:Dexamethasone / Q000627:therapeutic use; D005005:Ethmoid Sinus / Q000601:surgery*; D005130:Eye Hemorrhage / Q000209:etiology*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008353:Mannitol / Q000627:therapeutic use; D008875:Middle Aged; D009916:Orbital Diseases / Q000209:etiology*
D008353:Mannitol; D003907:Dexamethasone; D000086:Acetazolamide