Ophthalmic complications of endoscopic ethmoidectomy: a case report
© Niedzielska et al; licensee BioMed Central Ltd. 2010
Received: 30 November 2009
Accepted: 18 February 2010
Published: 18 February 2010
Damage to ethmoid structures following removal of nasal polyps can cause severe complications. A patient aged 48 years with damage to right orbital structures sustained in the course of transnasal endoscopic surgery for ethmoid polyps was operated. After operation were complications.
Nasal polyposis is a result of chronic inflammation of the nasal mucous membrane. The etiology remains unknown and is still studied. Nasal polyps are present in around 4% of the population. Their formation is observed in chronic sinusitis, environmental allergies, and aspirin idiosyncrasy causing nasal obstruction, permanent rhinorrhea, headaches and facial pain, which all reduce quality of life. The management of nasal polyps may involve medical or surgical therapy, which should be based on meticulous diagnostic work-up of the patients. The recurrence rate of nasal polyps is can be even higher than 30% . Complications have been observed following removal of nasal polyps located in the area of ethmoid structures; these are separated from the orbit by extremely thin lamina papyracea (or orbital lamina), and from the anterior cranial fossa by the cribriform plate, which is also thin. Damage to the structures can cause severe complications occurring in 1% of surgical patients .
Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
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