Orbital hemorrhage during ethmoid sinus surgery

Author:

Thompson Robert F.1,Gluckman Jack L.1,Kulwin Dwight2,Savoury Loren3

Affiliation:

1. Department of Otolaryngology and Maxillofacial Surgery, Cincinnati, Ohio, and London, Ontario, Canada

2. Department of Ophthalmology and Division of Ophthalmic Plastic, Reconstructive & Orbital Surgery, Cincinnati, Ohio, and London, Ontario, Canada

3. University of Cincinnati Medical Center, and Department of Otolaryngology, University of Western Ontario. Cincinnati, Ohio, and London, Ontario, Canada

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.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

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