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Medial Rectus Muscle Injuries after Functional Endoscopic Sinus Surgery

In recent years, functional endoscopic sinus surgery (FESS) has improved the treatment of sinus disorders. However, various orbital complications have been reported, including optic nerve damage, orbital hemorrhage, infection, lacrimal drainage system injury, and strabismus. Complications are rare b...

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Autores principales: Demirayak, Bengi, Altıntaş, Özgül, Ağır, Hakan, Alagöz, Şahin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5082277/
https://www.ncbi.nlm.nih.gov/pubmed/27800227
http://dx.doi.org/10.4274/tjo.01328
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author Demirayak, Bengi
Altıntaş, Özgül
Ağır, Hakan
Alagöz, Şahin
author_facet Demirayak, Bengi
Altıntaş, Özgül
Ağır, Hakan
Alagöz, Şahin
author_sort Demirayak, Bengi
collection PubMed
description In recent years, functional endoscopic sinus surgery (FESS) has improved the treatment of sinus disorders. However, various orbital complications have been reported, including optic nerve damage, orbital hemorrhage, infection, lacrimal drainage system injury, and strabismus. Complications are rare but may cause severe morbidity. We describe two patients who underwent endoscopic sinus surgery procedures that resulted in trauma to the medial rectus muscle. The first patient had medial rectus paresia due to contusional trauma and showed spontaneous resolution in a month. The other patient had an orbital medial wall defect with medial rectus injury and he underwent orbitotomy. Medial rectus innervation returned at postoperative 8 months. Several extraocular muscles may be traumatized during FESS. Timing and method of treatment are based on the severity and type of injury and the number of muscles involved. Treatment strategies are dependent on accurate interpretation of magnetic resonance imaging scans.
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spelling pubmed-50822772016-10-31 Medial Rectus Muscle Injuries after Functional Endoscopic Sinus Surgery Demirayak, Bengi Altıntaş, Özgül Ağır, Hakan Alagöz, Şahin Turk J Ophthalmol Case Report In recent years, functional endoscopic sinus surgery (FESS) has improved the treatment of sinus disorders. However, various orbital complications have been reported, including optic nerve damage, orbital hemorrhage, infection, lacrimal drainage system injury, and strabismus. Complications are rare but may cause severe morbidity. We describe two patients who underwent endoscopic sinus surgery procedures that resulted in trauma to the medial rectus muscle. The first patient had medial rectus paresia due to contusional trauma and showed spontaneous resolution in a month. The other patient had an orbital medial wall defect with medial rectus injury and he underwent orbitotomy. Medial rectus innervation returned at postoperative 8 months. Several extraocular muscles may be traumatized during FESS. Timing and method of treatment are based on the severity and type of injury and the number of muscles involved. Treatment strategies are dependent on accurate interpretation of magnetic resonance imaging scans. Galenos Publishing 2015-08 2015-08-05 /pmc/articles/PMC5082277/ /pubmed/27800227 http://dx.doi.org/10.4274/tjo.01328 Text en ©Turkish Journal of Ophthalmology, Published by Galenos Publishing. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Demirayak, Bengi
Altıntaş, Özgül
Ağır, Hakan
Alagöz, Şahin
Medial Rectus Muscle Injuries after Functional Endoscopic Sinus Surgery
title Medial Rectus Muscle Injuries after Functional Endoscopic Sinus Surgery
title_full Medial Rectus Muscle Injuries after Functional Endoscopic Sinus Surgery
title_fullStr Medial Rectus Muscle Injuries after Functional Endoscopic Sinus Surgery
title_full_unstemmed Medial Rectus Muscle Injuries after Functional Endoscopic Sinus Surgery
title_short Medial Rectus Muscle Injuries after Functional Endoscopic Sinus Surgery
title_sort medial rectus muscle injuries after functional endoscopic sinus surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5082277/
https://www.ncbi.nlm.nih.gov/pubmed/27800227
http://dx.doi.org/10.4274/tjo.01328
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