{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T13:28:35Z","timestamp":1771075715423,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[1993,11,1]],"date-time":"1993-11-01T00:00:00Z","timestamp":752112000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1993,11]]},"abstract":"<jats:p>Endoscopic sinus surgery can result in both minor and major complications. Among these, orbital complications\u2014including retroorbital hematoma\u2014are among the most feared. Injuries can be <jats:italic>direct<\/jats:italic> or indirect from <jats:italic>pulling<\/jats:italic> on diseased structures. A retrospective chart review of 616 endoscopic sinus procedures revealed eight orbital complications in seven patients. These included two medial rectus injuries, five orbital hemorrhages, and one nasolacrimal duct injury. Predisposing factors may include hypertension, lamina papyracia dehiscences, extensive polypoid disease, previous surgery, inability to visualize the maxillary ostia, violent coughing or sneezing, and chronic steroid use. Suggested management in the literature includes lateral canthotomy, steroids, and mannitol with ophthalmologic consultation. Opening of the wound by means of an external ethmoidectomy incision has also been suggested. We suggest that adding orbital decompression by means of multiple incisions into the periorbita should be added for fully effective relief. A \u201cmanagement\u201d tree of decision parameters relevant to orbital complications is presented.<\/jats:p>","DOI":"10.1177\/019459989310900507","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T06:50:58Z","timestamp":1448434258000},"page":"814-820","source":"Crossref","is-referenced-by-count":47,"title":["Orbital complications in functional endoscopic sinus surgery"],"prefix":"10.1002","volume":"109","author":[{"given":"Jacquelynne P.","family":"Corey","sequence":"first","affiliation":[{"name":"Section of Otolaryngology\u2010Head and Neck Surgery University of Chicago Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Bumsted","sequence":"additional","affiliation":[{"name":"Section of Otolaryngology\u2010Head and Neck Surgery University of Chicago Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Panje","sequence":"additional","affiliation":[{"name":"Section of Otolaryngology\u2010Head and Neck Surgery University of Chicago Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ari","family":"Namon","sequence":"additional","affiliation":[{"name":"Section of Otolaryngology\u2010Head and Neck Surgery University of Chicago Chicago Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1993,11]]},"reference":[{"key":"e_1_2_1_2_1","volume-title":"Endoscopy of the nose","author":"Messerklinger W.","year":"1978"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00183169"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.2500\/105065888781693078"},{"key":"e_1_2_1_5_1","first-page":"713","article-title":"Basic surgical techniques and variations of endoscopic sinus surgery","volume":"21","author":"Rice DH","year":"1988","journal-title":"Otolaryngol Clin North Am"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894880970S501"},{"key":"e_1_2_1_7_1","first-page":"93","article-title":"Zur Operatives Behandling der Chronisch\u2010Rezidivierenden Sinusitir \u2014 Caldwell\u2010Luc Versus Funktionelle Endoskopische Technik","volume":"35","author":"Stammberger H.","year":"1987","journal-title":"HNO"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198907000-00004"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1990.01070050089038"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(82)34769-7"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)31572-3"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1988.01860190105034"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(90)32383-7"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989310900507","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989310900507","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:57:26Z","timestamp":1760968646000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989310900507"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,11]]},"references-count":12,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1993,11]]}},"alternative-id":["10.1177\/019459989310900507"],"URL":"https:\/\/doi.org\/10.1177\/019459989310900507","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,11]]}}}