Myospherulosis of the Upper Eyelid as a Complication of Endoscopic Sinus Surgery

Biedlingmaier, John F.; Aronsky, Michael; Whelan, Philip

doi:10.2500/105065897781286043

Cited by 7 publications

(3 citation statements)

References 3 publications

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“…Patients tend to present a higher rate of postoperative synechia leading to a high number of revision surgeries [379]. Myospherulosis granulomas also may form within the area of the eyelid following sinus surgeries with intraoperative haemorrhage of the eyelids and perioperative use of nasal packing with ointment [380]. …”

Section: Severe or Threatening Complicationsmentioning

confidence: 99%

Danger points, complications and medico-legal aspects in endoscopic sinus surgery

Hosemann

Draf

2013

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 12:Doc06; ISSN 1865-1011

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Section: Severe or Threatening Complicationsmentioning

confidence: 99%

Danger points, complications and medico-legal aspects in endoscopic sinus surgery

Hosemann

Draf

2013

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 12:Doc06; ISSN 1865-1011

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“…Betroff ene Patienten neigen zu einer deutlich höheren Rate postoperativer Synechien mit der Folge vermehrter Rezidiv-Eingriff e [ 379 ] . Myospherulose-Granulome können sich nach Nebenhöhleneingriff en auch im Lidbereich bilden, wenn intraoperativ eine Einblutung in die Lider stattfand und wenn perioperativ mit Salben bestrichene Tamponaden verwendet wurden [ 380 ] . Blutung (A. ethmoidalis anterior, A. ethmoidalis posterior, A. sphenopalatina, A. carotis interna) Verletzung der A. sphenopalatina Die Mikroanatomie der Fossa pterygopalatina und des Foramen sphenopalatinum spielt für die Nebenhöhlenchirurgie eine große Rolle [ 381 ] .…”

Section: Paraffi Nomunclassified

Fehler und Gefahren: Eingriffe an den Nasennebenhöhlen und der Frontobasis unter Berücksichtigung mediko-legaler Aspekte

Hosemann

2013

Laryngo-Rhino-Otol

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Endoscopic endonasal sinus surgery represents the overall accepted type of surgical treatment for chronic rhinosinusitis. Notwithstanding raised and still evolving quality standards, surgeons performing routine endoscopic interventions are faced with minor complications in 5% and major complications in 0.5-1%.A comprehensive review on all minor and major complications of endoscopic surgery of the paranasal sinuses and also on the anterior skull base is presented listing the actual scientific literature. The pathogenesis, signs and symptoms of each complication are reviewed and therapeutic regimens are discussed in detail relating to actual publication references. Potential medico-legal aspects are explicated and recent algorithms of avoidance are mentioned taking into account options in surgical training and education.

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“…They had access to pelleted food and water throughout the experi-nasal masses; nasal obstruction, discharge, epistaxis, and swelling; headache; malaise; periorbital swelling; facial pain and fullness.5,6.9-L7,2o. 21 In each case, the etiology was initially unclear until the patients underwent further diagnostic tests and ultimately more surgery to treat the symptoms. Myospherulosis was determined to be the source of the symptoms.…”

mentioning

confidence: 99%

Experimental Myospherulosis of the Paranasal Sinuses: A Histologic Rabbit Study

Culviner

Leonard

Wilhelmsen³

et al. 2000

American Journal of Rhinology

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Myospherulosis or lipogranuloma formation is frequently iatrogenic and is caused by a petrolatum, lanolin, or paraffin-based ointment becoming trapped within tissue. Four different ointments, including the newly available Bactroban nasal, were studied in a rabbit paranasal sinus model to evaluate their proclivity to induce myospherulosis. The maxillary sinuses of 16 New Zealand white rabbits were bilaterally inoculated with Bactroban, Bactroban nasal, tetracycline, or bacitracin ointments and compared to saline controls in two rabbits. Sinus specimens were harvested at 2 and 4-week intervals and processed for histologic study. Myospherulosis formation was uniformly induced with the Bactroban nasal, bacitracin, and tetracycline ointments in 8/8, 7/8, and 8/8 sinuses, respectively. In contrast, myospherulosis was not induced in the 5/8 of the sinuses using Bactroban. The data from this investigation indicate that Bactroban nasal (paraffin vehicle) is similar to bacitracin and tetracycline ointments (petrolatum and petrolatum-lanolin vehicles) in that they all can cause myospherulosis. In contrast, Bactroban (a water-soluble, polyethylene glycol base) causes myospherulosis to a much smaller extent. Our results emphasize the differences between the two types of Bactroban preparations and provide objective data that can be evaluated by otolaryngologists who apply these ointments following nasal cavity surgery.

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Myospherulosis of the Upper Eyelid as a Complication of Endoscopic Sinus Surgery

Cited by 7 publications

References 3 publications

Danger points, complications and medico-legal aspects in endoscopic sinus surgery

Danger points, complications and medico-legal aspects in endoscopic sinus surgery

Fehler und Gefahren: Eingriffe an den Nasennebenhöhlen und der Frontobasis unter Berücksichtigung mediko-legaler Aspekte

Experimental Myospherulosis of the Paranasal Sinuses: A Histologic Rabbit Study

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