• Otolaryngol Head Neck Surg · Sep 1989

    Case Reports

    Blindness and intranasal endoscopic ethmoidectomy: prevention and management.

    • J A Stankiewicz.
    • Department of Otolaryngology--Head and Neck Surgery, Loyola University Medical Center, Maywood 60153.
    • Otolaryngol Head Neck Surg. 1989 Sep 1; 101 (3): 320-9.

    AbstractBlindness is one of the major complications that can occur during and after intranasal ethmoidectomy. Two mechanisms for blindness are apparent: (1) direct injury to the optic nerve and (2) retrobulbar (orbital) hematoma, which increases orbital pressure and compromises vascular supply and drainage to and from the eye. While several publications have discussed the management of blindness from a delayed operative vantage point, no publication has discussed the immediate management of blindness from intraoperative or immediate postoperative occurrence, stressing specific medical and surgical treatment. A review of the literature and the author's personal experience will be used as a basis to discuss the prevention and management of blindness during endoscopic intranasal ethmoidectomy. Case studies will be used to illustrate methods for prevention and management of blindness. If treated aggressively, blindness associated with retrobulbar hematoma can be reversed medically.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…