Open AccessOphthalmic comlications of functional endoscopic sinus surgery
Author(s) -
S.A. Karpishchenko,
Карпищенко Сергей Анатольевич,
Natalya Yu. Beldovskaya,
Белдовская Наталия Юрьевна,
S.V. Baranskaya,
Баранская Светлана Валерьевна,
Artemiy A. Karpov,
Карпов Артемий Алексеевич
Publication year - 2017
Publication title -
oftalʹmologičeskie vedomosti
Language(s) - English
Resource type - Journals
eISSN - 2412-5423
pISSN - 1998-7102
DOI - 10.17816/ov1087-92
Subject(s) - medicine , paranasal sinuses , orbit (dynamics) , functional endoscopic sinus surgery , sinus (botany) , surgery , nasal cavity , optic nerve , ethmoid sinus , ethmoidectomy , sinusitis , anatomy , maxillary sinus , botany , engineering , biology , genus , aerospace engineering
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.