Document Detail

Rare complications following ethmoidectomies: a report of eleven cases.
MedLine Citation:
PMID:  7266204     Owner:  NLM     Status:  MEDLINE    
Intranasal ethmoidectomy is one of the most difficult operations to teach residents. An accurate knowledge of the regional topographic anatomy is of utmost importance. Friedman and Kerr reported complications of 1000 cases of consecutive intranasal ethmoidectomies performed at the Mayo Clinic from 1957 to 1972. The complication rate was 2.8%. Meningitis, cerebrospinal fluid rhinorrhea, loss of olfaction, and nasolacrimal duct obstruction were reported. No blindness, loss of occular motility, excision of brain tissue or intracranial vessel damage occurred in their series. We are reporting a series of 8 cases of very rare complications following intranasal ethmoidectomies: 1. Optic nerve damage resulting in total blindness (3 cases). 2. Loss of occular motility (2 cases). 3. Cerebrospinal fluid leak resulting in 8 episodes of pseudomonas meningitis and epidural abscess (1 case). 4. Cavernous sinus--internal carotid artery fistula (1 case). 5. Anterior cranial fossa brain damage resulting in death (1 case). These cases, which were either referred to us or came up for our review, are described in detail. A search of the world literature demonstrates a lack of emphasis on such complications. The pitfalls of intranasal ethmoidectomy are considered and ways to avoid such dreadful complications are discussed.
A J Maniglia; J R Chandler; W J Goodwin; J Flynn
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  91     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1981 Aug 
Date Detail:
Created Date:  1981-10-25     Completed Date:  1981-10-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1234-44     Citation Subset:  IM    
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MeSH Terms
Blindness / etiology*
Brain Injuries / etiology
Ethmoid Sinus / surgery*
Meningitis / etiology*
Middle Aged
Nasal Polyps / surgery
Ophthalmoplegia / etiology*
Optic Nerve Injuries
Postoperative Complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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