Endoscopic transethmoidal decompression of a thrombosed orbital venous malformation.
We describe the case of a 37-year-old woman who experienced a painful thrombosis of an orbital venous malformation. We successfully treated her with surgical decompression via a computer-assisted, endoscopic transethmoidal orbitotomy. Removal of the lamina papyracea and evacuation of the thrombus provided immediate symptomatic relief. Decompression via an endoscopic transethmoidal route provides a more direct and less invasive approach than other techniques.
Gigantelli
James W
JW
Department of Otolaryngology-Head and Neck Surgery, University of Nebraska Medical Center, Omaha, NE, USA. jgigantelli@unmc.edu
Gagnon
Michael R
MR
Arthur
Jason A
JA
Leopold
Donald A
DA
D000328:Adult; D001763:Blepharoptosis / Q000209:etiology; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D009915:Orbit / Q000098:blood supply*; D009916:Orbital Diseases / Q000601:surgery*; D013927:Thrombosis / Q000601:surgery*; D014680:Veins / Q000002:abnormalities*