Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-25T06:00:02.507Z Has data issue: false hasContentIssue false
  • English
  • Français

Blindness due to electrocoagulation following functional endoscopic sinus surgery

Published online by Cambridge University Press:  29 June 2007

D. Vanden Abeele ,
A. Clemens ,
M. J. Tassignon  and
P. H. van de Heyning
D. Vanden Abeele*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Antwerp/Edegem, Belgium.
A. Clemens
Affiliation:
Department of Ophthalmology, University Hospital Antwerp/Edegem, Belgium.
M. J. Tassignon
Affiliation:
Department of Ophthalmology, University Hospital Antwerp/Edegem, Belgium.
P. H. van de Heyning
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Antwerp/Edegem, Belgium.
*
Address for correspondence: D. Vanden Abeele, Universitair ziekenhuis Antwerpen, Wilrijkstraat 10, B-2650 Edegem, Belgium. Fax: 03-825 05 36
Get access Rights & Permissions [Opens in a new window]

Abstract

A case is presented with irreversible blindness in one eye and restriction of the infratemporal visual field in the other eye, due to electrocoagulation performed for delayed bleeding after functional endoscopic sinus surgery (FESS). Although blindness due to rhinosurgery is a well-known, but rare complication, a review of the recent literature did not reveal a similar incident. The use of electrocoagulation especially under conditions of poor visualization, that may be the case in post-operative bleeding following (endoscopic) sinus surgery, is strongly discouraged.

Keywords

Paranasal sinuses, surgeryEndoscopyElectrocoagulation, complicationBlindness
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 3 , March 1996 , pp. 261 - 264
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Buus, D. R., Tse, D. T., Farris, B. K. (1990) Ophthalmic complications of sinus surgery. Ophthalmology 97: 612–619.CrossRefGoogle ScholarPubMed
Freedman, H. M., Kern, E. B. (1979) Complications of intranasal ethmoidectomy: a review of 1000 consecutive cases. Laryngoscope 89: 421–434.CrossRefGoogle Scholar
Friedman, W. H., Katsantonis, G. P., Rosenblum, B. N., Cooper, M. H., Slavin, R. (1986) Sphenoethmoidectomy: a case for ethmoid marsupialization. Laryngoscope 96: 473–479.CrossRefGoogle ScholarPubMed
Friedman, W. H., Katsantonis, G. P. (1990) Intranasal and transantral ethmoidectomy: a 20-year experience. Laryngoscope 10: 343–348.CrossRefGoogle Scholar
Kennedy, D. W. (1985) Functional endoscopic sinus surgery. Archives of Otolaryngology 111: 643–649.CrossRefGoogle ScholarPubMed
Lawson, W. (1991) The intranasal ethmoidectomy: an experience with 1077 procedures. Laryngoscope 101: 367–371.CrossRefGoogle Scholar
Levine, H. L. (1990) Functional endoscopic sinus surgery: evaluation, surgery and follow-up of 250 patients. Laryngoscope 100: 79–84.CrossRefGoogle ScholarPubMed
Lund, V. J. (1990) Surgery of the ethmoids - past, present and future: a review. Journal of the Royal Society of Medicine 83: 451–455.CrossRefGoogle ScholarPubMed
Lusk, R. P., Muntz, H. R. (1990) Endoscopic sinus surgery in children with chronic sinusitis: a pilot study. Laryngoscope 100: 654–658.CrossRefGoogle ScholarPubMed
Malotte, M. J., Petti, G. H., Chonkich, G. D., Rowe, R. P. (1991) Trans-antral sphenoethmoidectomy: a procedure of the 1990's? Otolaryngology - Head and Neck Surgery 104: 358–361.CrossRefGoogle Scholar
Maniglia, A. J., Chandler, J. R., Goodwin, W. J., Flynn, J. (1981) Rare complications following ethmoidectomies: a report of 11 cases. Laryngoscope 91: 1234–1244.CrossRefGoogle Scholar
Maniglia, A. J. (1989) Fatal and major complication secondary to nasal sinus surgery. Laryngoscope 99: 276–283.CrossRefGoogle Scholar
Mosher, H. P. (1912) The applied anatomy and the intranasal surgery of the ethmoidal labyrinth. Trans American Laryngological Association 34: 25–39.Google Scholar
O'Halloran, G. L., Kern, E. B. (1991) Classical intranasal ethmoidectomy: does the endoscope have a role? Journal of Otolaryngology 20: 391–394.Google ScholarPubMed
Rontal, M, Rontal, E. (1991) Studying whole-mounted sections of the paranasal sinuses to understand the complications of endoscopic sinus surgery. Laryngoscope 101: 361–366.CrossRefGoogle ScholarPubMed
Salman, S. D. (1991) Complications of endoscopic sinus surgery. American Journal of Otolaryngology 12: 326–328.CrossRefGoogle ScholarPubMed
Schaefer, S. D., Manning, S., Close, L. G. (1989) Endoscopic paranasal sinus surgery: Indications and considerations. Laryngoscope 99: 1–5.CrossRefGoogle ScholarPubMed
Sogg, A., Eichel, B. (1991) Ethmoid surgery complications and their avoidance. Annals of Otology, Rhinology and Laryngology 100: 722–724.CrossRefGoogle ScholarPubMed
Stammberger, H., Posawetz, W. (1990) Functional endoscopic sinus surgery. Concept, indications and results of the Messerklinger technique. European Archives of Otorhinolaryngology 247: 63–76.CrossRefGoogle ScholarPubMed
Stammberger, H. (1991) Functional Endoscopic Sinus Surgery. B. C. Decker, Philadelphia.Google Scholar
Stankiewicz, J. A. (1987) Complications of endoscopic intranasal ethmoidectomy. Laryngoscope 97: 1270–1273.CrossRefGoogle ScholarPubMed
Stankiewicz, J. A. (1989a) Complications in endoscopic intranasal ethmoidectomy: An update. Laryngoscope 99: 686–690.CrossRefGoogle ScholarPubMed
Stankiewicz, J. A. (1989b) Blindness and intranasal endoscopic ethmoidectomy: prevention and management. Otolaryngology - Head and Neck Surgery 101: 320–329.CrossRefGoogle ScholarPubMed
Thompson, R. F., Gluckman, J. L., Kulwin, D., Savoury, L. (1990) Orbital haemorrhage during ethmoid sinus surgery. Otolaryngology - Head and Neck Surgery 102: 45–50.CrossRefGoogle ScholarPubMed
Toffel, P. H., Aroesty, D. J., Weinmann, R. H. (1989) Secure endoscopic sinus surgery as an adjunct to functional nasal surgery. Archives of Otolaryngology, Head and Neck Surgery 115: 822–825.CrossRefGoogle ScholarPubMed
Wigand, M. E., Hoseman, W. G. (1991) Results of endosc surgery of the paranasal sinuses and anterior skull base. Journal of Otolaryngology 20: 385–390.Google Scholar