Journal of Rhinology 2014;21(2):132-133.
Published online November 30, 2014.
Sinocutaneous Fistula Induced by Long-Standing, Retained, Non-Absorbable Nasal Packing in The Paranasal Sinus
So Hea Ok, Nam Hyung Ryou, Il Ho Park, Heung Man Lee
Department of Otorhinolaryngology-Head and Neck Surgery, Guro Hospital, Korea University College of Medicine, Seoul, South Korea.
Orbital complications after endoscopic sinus surgery (ESS), such as optic nerve or medial rectus injuries, are well known, but isolated complete oculomotor nerve palsy has never been reported. In this case, a 31-year-old male was transferred to our hospital after ESS. Physical examination showed complete left oculomotor nerve palsy, with a bony defect on the sellar floor, which had not fully recovered after more than 1 year. We hypothesized that blunt trauma could be the main cause of the oculomotor palsy. Surgeons performing ESS must keep in mind the possibility of oculomotor palsy due to blunt trauma, especially when operating around the sphenoid and posterior ethmoid sinus.
Key Words: Nasal Packing;Complication;Ethmoid Sinusitis;Sinocutanueous Fistula

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