blood within the orbit posteriorly to the eyeball. It must be treated within 90-100 minutes to avoid irreversible visual loss. The present paper tries to pinpoint the key steps in diagnosis and treatment of RBM.On the wake of a new case, the authors review and update their clinical experience and propose a step-by-step protocol to diagnose and to treat RBH developing under different circumstances: during endoscopic sinus surgery, during periorbital surgery, immediately after the surgery, in the awakening room, or postoperatively in the ward.A therapeutic ladder is proposed that starts with lateral canthotomy and inferior cantholysis and progresses to a lower lid transconjunctival incision with retrocaruncular extension.Based on our experience, the proposed guidelines are effective in diagnosing and treating RBH. They allow to preserve vision and minimize reliquates of this rare and dangerous surgical emergency.
Retrobulbar haemorrage during or after endonasal or per-orbital surgery : what to do, when and how to do it / G. Colletti, P. Fogagnolo, F. Allevi, D. Rabbiosi, V. Bebi, L. Rossetti, M. Chiapasco, G. Felisati. - In: THE JOURNAL OF CRANIOFACIAL SURGERY. - ISSN 1049-2275. - 26:3(2015 May), pp. 897-901.
|Titolo:||Retrobulbar haemorrage during or after endonasal or per-orbital surgery : what to do, when and how to do it|
COLLETTI, GIACOMO (Corresponding)
FOGAGNOLO, PAOLO (Secondo)
CHIAPASCO, MATTEO FRANCESCO (Penultimo)
FELISATI, GIOVANNI (Ultimo)
|Parole Chiave:||inferior cantholysis; lateral canthotomy; retrobulbar hemorrhage; transconjunctival access; transpalpebral management|
|Settore Scientifico Disciplinare:||Settore MED/28 - Malattie Odontostomatologiche|
|Data di pubblicazione:||mag-2015|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1097/SCS.0000000000001508|
|Appare nelle tipologie:||01 - Articolo su periodico|