Isolated Inferior Rectus Muscle Entrapment following Endoscopic Sinus Surgery
Orbital complications are known risks of endoscopic sinus surgery (ESS). The lamina papyracea and medial rectus muscle are the most commonly injured structures during ESS. Inferior rectus injury is more rare, with only one reported case of isolated inferior rectus injury in the literature. Guideline...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2018/4620510 |
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| author | Scott Shapiro Jamie L. Schaefer Sumeet Gupta John Nguyen Brian Kellermeyer |
| author_facet | Scott Shapiro Jamie L. Schaefer Sumeet Gupta John Nguyen Brian Kellermeyer |
| author_sort | Scott Shapiro |
| collection | DOAJ |
| description | Orbital complications are known risks of endoscopic sinus surgery (ESS). The lamina papyracea and medial rectus muscle are the most commonly injured structures during ESS. Inferior rectus injury is more rare, with only one reported case of isolated inferior rectus injury in the literature. Guidelines for managing ESS-induced inferior rectus injury do not exist, and delayed intervention and management of adjacent sinuses may affect long-term outcomes such as persistent diplopia and disfigurement. In this report, we present a case of a 67-year-old man with diplopia due to isolated left inferior rectus muscle entrapment and injury from violation of the orbital floor during previous ESS. We postulate that an incomplete maxillary antrostomy contributed to scar band formation and entrapment of the inferior rectus muscle after the orbital floor was violated, and advocate early intervention with a wide, complete maxillary antrostomy if the orbital floor is injured during ESS. |
| format | Article |
| id | doaj-art-7ee75ced8f524cd09b8ae121cab2b145 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-7ee75ced8f524cd09b8ae121cab2b1452025-02-03T01:10:18ZengWileyCase Reports in Otolaryngology2090-67652090-67732018-01-01201810.1155/2018/46205104620510Isolated Inferior Rectus Muscle Entrapment following Endoscopic Sinus SurgeryScott Shapiro0Jamie L. Schaefer1Sumeet Gupta2John Nguyen3Brian Kellermeyer4Department of Otolaryngology, Head and Neck Surgery, West Virginia University, P.O. Box 9200, HSC Room 4520, Morgantown, WV 26506, USADepartment of Ophthalmology, West Virginia University, P.O. Box 9193, One Medical Center Dr., Morgantown, WV 26506, USADepartment of Ophthalmology, West Virginia University, P.O. Box 9193, One Medical Center Dr., Morgantown, WV 26506, USADepartment of Ophthalmology, West Virginia University, P.O. Box 9193, One Medical Center Dr., Morgantown, WV 26506, USADepartment of Otolaryngology, Head and Neck Surgery, West Virginia University, P.O. Box 9200, HSC Room 4520, Morgantown, WV 26506, USAOrbital complications are known risks of endoscopic sinus surgery (ESS). The lamina papyracea and medial rectus muscle are the most commonly injured structures during ESS. Inferior rectus injury is more rare, with only one reported case of isolated inferior rectus injury in the literature. Guidelines for managing ESS-induced inferior rectus injury do not exist, and delayed intervention and management of adjacent sinuses may affect long-term outcomes such as persistent diplopia and disfigurement. In this report, we present a case of a 67-year-old man with diplopia due to isolated left inferior rectus muscle entrapment and injury from violation of the orbital floor during previous ESS. We postulate that an incomplete maxillary antrostomy contributed to scar band formation and entrapment of the inferior rectus muscle after the orbital floor was violated, and advocate early intervention with a wide, complete maxillary antrostomy if the orbital floor is injured during ESS.http://dx.doi.org/10.1155/2018/4620510 |
| spellingShingle | Scott Shapiro Jamie L. Schaefer Sumeet Gupta John Nguyen Brian Kellermeyer Isolated Inferior Rectus Muscle Entrapment following Endoscopic Sinus Surgery Case Reports in Otolaryngology |
| title | Isolated Inferior Rectus Muscle Entrapment following Endoscopic Sinus Surgery |
| title_full | Isolated Inferior Rectus Muscle Entrapment following Endoscopic Sinus Surgery |
| title_fullStr | Isolated Inferior Rectus Muscle Entrapment following Endoscopic Sinus Surgery |
| title_full_unstemmed | Isolated Inferior Rectus Muscle Entrapment following Endoscopic Sinus Surgery |
| title_short | Isolated Inferior Rectus Muscle Entrapment following Endoscopic Sinus Surgery |
| title_sort | isolated inferior rectus muscle entrapment following endoscopic sinus surgery |
| url | http://dx.doi.org/10.1155/2018/4620510 |
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