The Journal of Laryngology & Otology

Clinical Records

Medial orbital protrusion - a potentially hazardous anomaly during endoscopic sinus surgery

J. C. Lima1, P. J. Hadfielda1, S. Ghiacya2 and N. R. Bleacha1 c1

a1 Department of Otolaryngology, Wexham Park Hospital, Slough, UK.

a2 Department of Radiology, Wexham Park Hospital, Slough, UK.

Abstract

We report the case of a 57-year-old patient with a presumed developmental anomaly of the medial orbital wall. The resultant protrusion of orbital contents into the ethmoidal complex was clearly demonstrated on coronal computed tomography (CT) scans of the paranasal sinuses. This anomaly presents a high risk of iatrogenic injury to the medial rectus and orbit during functional endoscopic sinus surgery and has not previously been described.

(Accepted April 27 1999)

Correspondence:

c1 Address for correspondence: N. R. Bleach, F.R.C.S., Department of Otolaryngology, Wexham Park Hospital, Slough.

Related Content
--