Biomedical subjects

I Melheim

Publications and source records attributed to I Melheim.

2 recordsLinked to original sources

PubMed1992

Acute orbit from ethmoiditis drained by endoscopic sinus surgery.

Orbital complications from sinusitis are briefly reviewed. Acute orbit is suggested as the common term for all stages in the development. Four patients with acute orbit and ethmoiditis are presented. All had transnasal ethmoidectomy and drainage of the orbit performed by functional endoscopic sinus surgery (FES). Surgical indications are discussed based on clinical signs and CT examination. The operation can easily be staged according to the needs of the individual patient, starting with drainage of the primary cause, the sinusitis. Orbital skin incisions are avoided. Postoperative regression of clinical symptoms has been rapid.

Acute Disease↗

PubMed1991

[Sphenoidal sinus mucocele. Diagnosis and endoscopic surgery].

Two cases of sphenoid sinus mucocele are described. Diagnosis was based on insidious orbital symptoms, apex orbital syndrome, followed by CT and MRI examinations. In one case the mucocele was preceded by seven years of a successfully treated undifferentiated nasopharyngeal carcinoma. Simple transnasal endoscopic drainage of the mucoceles gave good results, although a monocular blindness of long standing was irreversible. A high level of suspicion, combined with modern imaging techniques and prompt surgical intervention, are the prerequisites for avoiding persisting sequelae.

Adolescent↗