Medialization of the lamina papyracea after endoscopic ethmoidectomy: comparison of preprocedure and postprocedure computed tomographic scans.

Abstract:

OBJECTIVE:The purpose of this article is to report computed tomography demonstration of medial bowing of the lamina papyracea in 5 patients after internal ethmoidectomy. METHODS:We identified 5 patients who had apparent medial bowing of the lamina papyracea after functional endoscopic sinus surgery (FESS) and who had preoperative scans available. Preoperative and postoperative scans were reviewed using a 3-dimensional workstation to ensure similar angulation of the slices before measurement. Measurements of the interorbital distance and also the position of the posterior margin of the globe relative to a line connecting the lateral orbital walls were performed. RESULTS:Each of the patients demonstrated a decrease in the interorbital distance on the postoperative scan. Measurement of globe position showed that 9 of the 10 globes lay in a more posterior position within the orbit on postoperative examination. CONCLUSIONS:Medial bowing of the lamina papyracea may occur as a result of FESS and may lead to relative enophthalmos in comparison. The incidence of this phenomenon is unknown because most patients are not reimaged after FESS.

journal_name

J Comput Assist Tomogr

authors

Cunnane ME,Platt M,Caruso PA,Metson R,Curtin HD

doi

10.1097/RCT.0b013e31816c82da

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

79-81

issue

1

eissn

0363-8715

issn

1532-3145

pii

00004728-200901000-00014

journal_volume

33

pub_type

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