Klinische Monatsblatter fur Augenheilkunde · 2002
[Accidental injury of medial rectus muscle in endoscopic surgery of ethmoidal sinus: case report and survey of literature].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Schmidt Thomas, Thaller-Antlanger Helga, Klopfer Matthias
Аннотация
BACKGROUND: Ophthalmologic complications of endoscopic sinus surgery are rare, consequences may be serious.
PATIENTS: Two patients are presented who suffered lesions of the internal rectus muscles during endoscopic ethmoidectomy. The clinical picture of this rare complication resembles that of a paralysis of the medial rectus muscle.
THERAPY AND COURSE: In one patient the very thinned medial rectus muscle was tucked in a first surgical step. In the second step the external rectus muscle was recessed. Fusion in primary gaze was possible. In the second patient surgery was planned, he died however.
CONCLUSION: Because of the anatomy the medial rectus muscle is endangered in endoscopic ethmoidectomy. Considered to the frequency of this surgery the incidence however is rare.
PATIENTS: Two patients are presented who suffered lesions of the internal rectus muscles during endoscopic ethmoidectomy. The clinical picture of this rare complication resembles that of a paralysis of the medial rectus muscle.
THERAPY AND COURSE: In one patient the very thinned medial rectus muscle was tucked in a first surgical step. In the second step the external rectus muscle was recessed. Fusion in primary gaze was possible. In the second patient surgery was planned, he died however.
CONCLUSION: Because of the anatomy the medial rectus muscle is endangered in endoscopic ethmoidectomy. Considered to the frequency of this surgery the incidence however is rare.