title: Orbital hemorrhage during ethmoid sinus surgery.
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.
authors.affiliation: Department of Otolaryngology and Maxillofacial Surgery, University of Cincinnati Medical Center, OH 45267-0528.
authors.forename: R F
authors.initials: RF
authors.lastname: Thompson
authors.forename: J L
authors.initials: JL
authors.lastname: Gluckman
authors.forename: D
authors.initials: D
authors.lastname: Kulwin
authors.forename: L
authors.initials: L
authors.lastname: Savoury
mesh_terms: 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*
chemical_list: D008353:Mannitol; D003907:Dexamethasone; D000086:Acetazolamide