Abstract
A 27-year-old female referred to tertiary rhinology practice 2 weeks after surgery for presumed inflammatory disease. Pathology revealed poorly differentiated squamous cell carcinoma and patient presents for definitive treatment. Her nasal endoscopy revealed significant sinonasal edema and no clear tumor pedicle was identified. She had no other pertinent past medical or surgical history. Of note, she denied any visual disturbances or history of facial trauma. Coronal images of her preoperative CT and post-contrast MRI can be seen in Fig. 2.1. The patient was counseled on the significance of the pathology and decided to proceed with definitive surgery to appropriately map the tumor and for possible complete extirpation. She was properly informed of the risks of endoscopic sinus surgery, including the risks of CSF leak, orbital injury with temporary or permanent vision loss, nasal bleeding, epiphora, loss of smell, and the potential for additional future procedures.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Popat H, Doyle PT, Davies SJ. Blindness following retrobulbar haemorrhage–it can be prevented. Br J Oral Maxillofac Surg. 2007;45:163–4. https://doi.org/10.1016/j.bjoms.2005.06.028.
Larsen M, Wieslander S. Acute orbital compartment syndrome after lateral blow-out fracture effectively relieved by lateral cantholysis. Acta Ophthalmol Scand. 1999;77:232–3. https://doi.org/10.1034/j.1600-0420.1999.770225.x.
Rootman J. Orbital surgery: a conceptual approach. 2nd ed. Lippincott Williams and Wilkins; 2013. ISBN: 978-1451100105.
Kikkawa D, Lemke B. In: Dortzbach RK, editor. Ophthalmic plastic surgery: prevention and management of complications. Lippincott Williams and Wilkins; 1994. p. 1–29. ISBN: 978-0781700290.
Moon HJ, Kim HU, Lee JG, Chung IH, Yoon JH. Surgical anatomy of the anterior ethmoidal canal in ethmoid roof. Laryngoscope. 2001;111:900–4. https://doi.org/10.1097/00005537-200105000-00027.
Mohammadi F, et al. Intraocular pressure changes in emergent surgical decompression of orbital compartment syndrome. JAMA Otolaryngol Head Neck Surg. 2015;141:562–5. https://doi.org/10.1001/jamaoto.2015.0524.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Tong, C.C.L., Palmer, J.N. (2022). Management of Orbital Hematoma in Endoscopic Sinus Surgery. In: Chandra, R.K., Welch, K.C. (eds) Lessons Learned from Rhinologic Procedure Complications. Springer, Cham. https://doi.org/10.1007/978-3-030-75323-8_2
Download citation
DOI: https://doi.org/10.1007/978-3-030-75323-8_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-75322-1
Online ISBN: 978-3-030-75323-8
eBook Packages: MedicineMedicine (R0)