[Orbital complication of sinus surgery. Clinical aspects and medicolegal implications].
Fortunately, serious orbital complications of sinus surgery occur rarely and are only very seldom reported. A case of bilateral Caldwell-Luc type operation for management of nasal polyposis was complicated by orbital luxation because of excessive intraorbital pressure consecutive to a blow in fracture. Enucleation of the eyeball will be required. Secondary surgery is performed to reduce the fractures and create a conjunctival pouch for the ocular prosthesis. Medico-legal consequences of the first operation (expert's report and trial) are related. A literature review provides rare examples of similar cases.
Seguin
P
P
Service de stomatologie et chirurgie maxillo-faciale, Hôpital de Bellevue, Saint-Etienne.
Dumas
P
P
D000328:Adult; D005104:Expert Testimony; D015353:Eye Enucleation; D005554:Forensic Medicine; D006801:Humans; D008297:Male; D015508:Nasal Obstruction / Q000601:surgery*; D009298:Nasal Polyps / Q000601:surgery*; D009917:Orbital Fractures / Q000209:etiology*; D010027:Osteotomy / Q000009:adverse effects* / Q000379:methods; D010254:Paranasal Sinus Diseases / Q000601:surgery
Complications orbitaires de la chirurgie sinusienne. Aspects cliniques et incidences médico-légales.