Ophthalmic complications of endoscopic sinus surgery

Seredyka-Burduk, Małgorzata; Burduk, Paweł; Wierzchowska, Małgorzata; Kałużny, Bartłomiej J.; Malukiewicz, Grażyna

doi:10.1016/j.bjorl.2016.04.006

Cited by 40 publications

(25 citation statements)

References 21 publications

(106 reference statements)

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“…12 The nasociliary nerve in the superomedial intraconal space appears as a thin fiber accompanying the ophthalmic artery. 22 Thus, its preservation mandates a careful and attentive dissection.…”

Section: Discussionmentioning

confidence: 99%

Intraconal Anatomy of the Anterior Ethmoidal Neurovascular Bundle: Implications for Surgery in the Superomedial Orbit

London

Prevedello

et al. 2020

Am J Rhinol�Allergy

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Background The anterior ethmoidal artery (AEA) branches from the ophthalmic artery in the superomedial intraconal space. The feasibility of management of lesions arising from the superomedial intraconal space via an endoscopic endonasal approach has not been sufficiently explored. Objective To yield a detailed anatomic description of the anterior ethmoidal neurovascular bundle and its variants to serve as the foundation for possible management of lesions in the superomedial intraconal space. Methods Eight cadaveric specimens (16 sides) were dissected using an endonasal approach, tracing the AEA proximally through the superomedial intraconal space. Furthermore, the anatomy of adjacent structures was noted, and distances from the anterior ethmoidal foramen to the origin of the AEA at the ophthalmic artery were measured. Results Supraorbital cells were found in 13/16 sides (81.25%), and a bony dehiscence of the anterior ethmoidal canal was observed in 5/16 sides (31.25%). The nasociliary nerve, ophthalmic artery, superior division of the oculomotor nerve, superior rectus muscle, and levator palpebrae superioris were routinely identified in the superomedial intraconal space. The AEA passed through a corridor between the medial rectus and superior oblique muscles after arising from the ophthalmic artery (lateral to the foramen) in all specimens. The average distance from its origin to the anterior ethmoidal foramen was 5.19 ± 0.98 mm. Conclusion Anatomically, it is feasible to access the superomedial intraconal space via an endoscopic endonasal approach. This study provides the anatomical basis for procedures in the superomedial intraconal space.

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Section: Discussionmentioning

confidence: 99%

Intraconal Anatomy of the Anterior Ethmoidal Neurovascular Bundle: Implications for Surgery in the Superomedial Orbit

London

Prevedello

et al. 2020

Am J Rhinol�Allergy

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“…They estimate an incidence between 0.5 and 5 per cent. 9,10 This may suggest a weakness in the overall completeness of the British Ophthalmological Surveillance Unit reporting process. It may also reflect the increasing safety of FESS in the UK – a result of increased teaching and improvements in instrument technology.…”

Section: Discussionmentioning

confidence: 99%

“…In comparison to other published papers this is a little lower. They estimate an incidence between 0.5 -5% (9,10) . This may suggest a weakness in the overall completeness of the BOSU reporting process.…”

Section: Comparisons With Other Studiesmentioning

confidence: 99%

A multi-centre, prospective epidemiological surveillance study considering ophthalmic complications of functional endoscopic sinus surgery

et al. 2020

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ObjectivesThis prospective, epidemiological British Ophthalmological Surveillance Unit study into ophthalmic complications of functional endoscopic sinus surgery aimed to determine the minimum incidence, presenting features and management throughout the UK.MethodsCases of ophthalmic complications of functional endoscopic sinus surgery, between February 2016 and February 2018, were identified through the British Ophthalmological Surveillance Unit reporting card system. Reporting ophthalmic consultants were sent an initial questionnaire, followed by a second questionnaire at six months.ResultsTwenty-six cases of ophthalmic complications of functional endoscopic sinus surgery were reported. The majority (16 cases (62 per cent)) had limitations of ocular motility at presentation. The most common final diagnosis was rectus muscle (33 per cent) and nasolacrimal duct trauma (27 per cent). Using national data, this study reports a minimum incidence of ophthalmic complications of functional endoscopic sinus surgery in the UK of 0.2 per cent over two years.ConclusionIn terms of ophthalmic complications, functional endoscopic sinus surgery is shown to be safe. Ophthalmic complications are rare, but when they do occur, they commonly result in rectus muscle trauma, often requiring surgical intervention.

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“…The main risk factors to which the authors attributed complications were extension of primary disease, previous surgery, and anticoagulant therapy. 18…”

Section: Discussionmentioning

confidence: 99%

Periorbital Emphysema After Endoscopic Nasal Polyp Surgery

Çınar¹,

Yüce

Fece³

et al. 2019

tjo

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Periorbital and subcutaneous emphysema after transnasal endoscopic surgery are rare. Periorbital emphysema has been reported after facial trauma, dental interventions, procedures such as endoscopic sinus surgery and rhinoplasty, and due to medications such as systemic steroids. Although very rare, it may require urgent intervention because of the risk of increased intraocular pressure and impaired blood supply to the globe. The otolaryngology department requested ophthalmology consultation for a 65-year-old male patient who had severe periorbital emphysema of the right eye the day after endoscopic nasal polypectomy due to severe coughing and straining. Crepitus was detected on skin palpation and immediate intervention was performed by passing a 21-gauge needle through the skin into the subcutaneous tissue of the upper and lower eyelids to evacuate the subcutaneous air. The patient’s clinical symptoms resolved with no postoperative complications.

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Ophthalmic complications of endoscopic sinus surgery

Cited by 40 publications

References 21 publications

Intraconal Anatomy of the Anterior Ethmoidal Neurovascular Bundle: Implications for Surgery in the Superomedial Orbit

Intraconal Anatomy of the Anterior Ethmoidal Neurovascular Bundle: Implications for Surgery in the Superomedial Orbit

A multi-centre, prospective epidemiological surveillance study considering ophthalmic complications of functional endoscopic sinus surgery

Periorbital Emphysema After Endoscopic Nasal Polyp Surgery

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