Blindness following medial maxillectomy.
Medial maxillectomy via lateral rhinotomy approach is used in the treatment for tumours affecting the lateral nasal wall. The most frequent complications are crusting, epicanthal scarring and epiphora. The authors report a rare case of blindness secondary to indirect optic neuropathy following medial maxillectomy undertaken to treat a malignant melanoma arising in the lateral nasal wall. It is important to keep in mind, the possibility of this rare complication, while patients are being counselled preoperatively for medial maxillectomy.
Kalavagunta
Sudhakiran
S
Department of Otorhinolaryngology, Royal Liverpool University Hospital, Liverpool, United Kingdom. sudhakiran7@yahoo.com
Roy
Dev
D
Fish
B
B
Jackson
S
S
D000368:Aged; D000369:Aged, 80 and over; D001766:Blindness / Q000209:etiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008444:Maxillary Sinus Neoplasms / Q000601:surgery*; D008545:Melanoma / Q000601:surgery*; D009901:Optic Nerve Diseases / Q000209:etiology*; D011183:Postoperative Complications