Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
증례

오래된 안와 내벽 골절이 동반된 만성 부비염에서 동시에 시행한 안와 내벽 골절 정복술 및 내시경 수술 1예

한정욱1,*, 석상혁1, 임준식1, 권기승1
Jung-Uk Han1,*, Sang Hyok Suk1, Jun Sick Im1, Ki Seoung Kwon1
1메리놀병원 이비인후과
1Department of Otolaryngology, Maryknoll General Hospital, Busan, Korea
*교신저자: 한정욱, 600-730 부산광역시 중구 중구로 121 메리놀병원 이비인후과 전화 :(051) 465-2205·전송:(051) 462-9419 E-mail:hju0617@nate.com

© Copyright 2014 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 27, 2014; Revised: Sep 16, 2014; Accepted: Nov 26, 2014

Published Online: May 31, 2020

ABSTRACT

Minor and major complications can occur during endoscopic sinus surgery. Damage to an anatomic structure adjacent to a sinus is always a possibility during ESS. The lamina papyracea is very thin and may be fractured with relatively minor truma. The presence of orbital fat, as well as the distorted anatomy at the fracture site, may make endoscopy sinus surgey difficult or impossible because orbital fat is a landmark that surgeons should not cross for fear of injury to orbital content, such as extraocular muscles, vasculature, and neural structures. If there may be combined disruption of the medial orbital wall with orbital blowout fracture, orbital complication after ESS may be very high. We report a case of endoscopic sinus surgery of chronic sinusitis and nasal polyps associated old medial blowout fracture with a review of literature. (J Clinical Otolaryngol 2014;25:199-203)

Keywords: 상악동염; 합병증; 안와골절
Keywords: Maxillary sinusitis; Complication; Orbital fracture