Abstract

Background: Endoscopic sinus surgery has become a preferred modalityfor management of various nasal and sinus disorders. Orbital complications, though rare,are reported amongst patients undergoing ESS. Study Design: Case series. Methods: Aretrospective review was undertaken of four cases of orbital complications during endoscopicsinus surgery. Results: Two patients suffered from periorbital haematoma and subconjunctivalhaemorrhage. One patient developed subcutaneous emphysema and numbness of lower eyelidand cheek. One patient got oedema of lower eyelid. Conclusion: Ophthalmic complicationsoccurring during ESS should be timely and properly addressed. By having sound knowledge ofanatomy of nose, paranasal sinuses and orbit and detailed preoperative assessment, chancesof orbital complications can be lessened.

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