Ophthalmic comlications of functional endoscopic sinus surgery

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Abstract

Functional endoscopic sinus surgery (FESS) is an effective and safe surgical technique, which revolutionized the surgical management of nasal cavity and paranasal sinus diseases. The intimate connection between paranasal sinuses and the orbit places the orbital content at a risk of injury during sinus surgery, especially that of ethmoid sinuses. The orbit, the optic nerve, extraocular muscles and the lacrimal drainage system could be damaged during FESS. The risk of injury correlates to anatomical variations, degree and severity of disease, previous procedure results, and surgical experience. Ophthalmic complications can vary in severity from minor ones, such as localized hematomas, to extremely dangerous, such as optic nerve injury, that could lead to complete blindness. In order to minimize the risk of such complications, it is necessary to consider probable anatomic variations of paranasal sinuses and orbit, which are to be detected by CT scan before surgery.

About the authors

Sergey A. Karpishchenko

FSBEI HE “Academician I.P. Pavlov First St Petersburg State Medical University”

Author for correspondence.
Email: karpishchenkos@mail.ru

professor, head of Otorhinolaryngology Department

Russian Federation, Saint Petersburg

Natalya Yu. Beldovskaya

FSBEI HE “Academician I.P. Pavlov First St Petersburg State Medical University”

Email: beldovskay@mail.ru

MD, PhD, assistant professor. Ophthalmology Department

Russian Federation, Saint Petersburg

Svetlana V. Baranskaya

FSBEI HE “Academician I.P. Pavlov First St Petersburg State Medical University”

Email: sv-v-b@yandex.ru

MD, postgraduate student. Otorhinolaryngology Department

Russian Federation, Saint Petersburg

Artemiy A. Karpov

FSBEI HE “Academician I.P. Pavlov First St Petersburg State Medical University”

Email: artemiykarpov@mail.ru

MD, otorhinolaryngologist. Otorhinolaryngology Department

Russian Federation, Saint Petersburg

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Copyright (c) 2017 Karpishchenko S.A., Beldovskaya N.Y., Baranskaya S.V., Karpov A.A.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
 


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