Injury of the Medial Rectus Muscle by Using a Microdebrider During Endoscopic Sinus Surgery : A Case Report.
10.12701/yujm.2006.23.2.240
- Author:
Yoon Seok CHOI
1
;
Chang Hoon BAI
;
Si Youn SONG
;
Yong Dae KIM
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Yeungnam University, Daegu, Korea. ydkim@med.yu.ac.kr
- Publication Type:Case Report
- Keywords:
Microdebrider;
Medial rectus muscle
- MeSH:
Diplopia;
Exotropia;
Female;
Humans;
Middle Aged;
Orbit;
Rupture;
Telescopes
- From:Yeungnam University Journal of Medicine
2006;23(2):240-246
- CountryRepublic of Korea
- Language:English
-
Abstract:
A microdebrider is increasingly used in endoscopic sinus surgery. Although it has many advantages over conventional instruments, it has been associated with severe complications. We treated a case of rupture of the left medial rectus muscle after use of a microdebrider during endoscopic sinus surgery in a 50 year-old female patient who complained of binocular diplopia and exotropia. The patient showed marked limitation on adduction and about 40 prism diopters of left exodeviation. The orbital computed tomography showed a bony defect at the left medial orbital wall, and injury of the medial rectus muscle. The exodeviation was corrected after ophthalmologic surgery. We report a case of the rupture of the medial rectus muscle after use of a microdebrider during endoscopic sinus surgery and review the medical literature.
