Medial rectus muscle injuries associated with functional endoscopic sinus surgery: Characterization and management

Christine M. Huang, Dale R. Meyer, James R. Patrinely, Charles N S Soparkar, Roger Dailey, Marlon Maus, Peter A D Rubin, R. Patrick Yeatts, Thomas A. Bersani, James W. Karesh, Andrew R. Harrison, Joseph P. Shovlin

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Objective: To characterize and evaluate treatment options for medial rectus muscle (MR) injury associated with functional endoscopic sinus surgery (FESS). Design: Retrospective interventional case series Participants: A total of 30 cases were gathered from 10 centers. Methods: Cases of orbital MR injury associated with FESS surgery were solicited from members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) through an e-mail discussion group. Main Outcome Measures: Variables assessed included patient demographics, computerized tomography and operative findings, extent of MR injury and entrapment, secondary orbital/ocular injuries, initial and final ocular alignment and ductions, and interventions. Results: A spectrum of MR injury ranging from simple contusion to complete MR transection, with and without entrapment, was observed. Four general patterns of presentation and corresponding injury were categorized. Conclusions: Medial rectus muscle injury as a complication of FESS can vary markedly. Proper characterization and treatment are important, particularly with reference to the degree of direct MR injury (muscle tissue loss) and entrapment. Patients with severe MR disruption can benefit from intervention but continue to show persistent limitation of ocular motility and functional impairment. Prevention and early recognition and treatment of these injuries are emphasized.

Original languageEnglish (US)
Pages (from-to)25-37
Number of pages13
JournalOphthalmic Plastic and Reconstructive Surgery
Volume19
Issue number1
DOIs
StatePublished - Jan 2003

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Muscles
Wounds and Injuries
Reconstructive Surgical Procedures
Eye Injuries
Contusions
Postal Service
Plastic Surgery
Therapeutics
Tomography
Demography
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

Medial rectus muscle injuries associated with functional endoscopic sinus surgery : Characterization and management. / Huang, Christine M.; Meyer, Dale R.; Patrinely, James R.; Soparkar, Charles N S; Dailey, Roger; Maus, Marlon; Rubin, Peter A D; Patrick Yeatts, R.; Bersani, Thomas A.; Karesh, James W.; Harrison, Andrew R.; Shovlin, Joseph P.

In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 19, No. 1, 01.2003, p. 25-37.

Research output: Contribution to journalArticle

Huang, CM, Meyer, DR, Patrinely, JR, Soparkar, CNS, Dailey, R, Maus, M, Rubin, PAD, Patrick Yeatts, R, Bersani, TA, Karesh, JW, Harrison, AR & Shovlin, JP 2003, 'Medial rectus muscle injuries associated with functional endoscopic sinus surgery: Characterization and management', Ophthalmic Plastic and Reconstructive Surgery, vol. 19, no. 1, pp. 25-37. https://doi.org/10.1097/00002341-200301000-00004
Huang, Christine M. ; Meyer, Dale R. ; Patrinely, James R. ; Soparkar, Charles N S ; Dailey, Roger ; Maus, Marlon ; Rubin, Peter A D ; Patrick Yeatts, R. ; Bersani, Thomas A. ; Karesh, James W. ; Harrison, Andrew R. ; Shovlin, Joseph P. / Medial rectus muscle injuries associated with functional endoscopic sinus surgery : Characterization and management. In: Ophthalmic Plastic and Reconstructive Surgery. 2003 ; Vol. 19, No. 1. pp. 25-37.
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