Method of endoscopic decompression of the orbit and optic nerve in cavernous sinus thrombosis

    

    Abstract

    Method of endoscopic decompression of the orbit and optic nerve in cavernous sinus thrombosis

    Oripov O.I., Umarov R.Z.

    Tashkent Medical Academy, Ministry of Health of the Republic of Uzbekistan
Center for the Development of Professional Qualifications of Medical Workers, Ministry of Health of the Republic of Uzbekistan

    Purpose. To study the effectiveness of the method of endoscopic decompression of the orbit and the optic nerve through its medial wall in case of cavernous sinus thrombosis.

    Material and мethods. The study included 20 patients (11 men (55 %) and 9 women (45 %)) with COVID-19 associated cavernous sinus thrombosis, which was complicated by the development of a pyoinflammatory process in the orbit. The study group included 12 patients who underwent surgical treatment according to proposed method. As a comparative group, we took the results of a retrospective analysis of 8 cases in which patients underwent traditional transcutaneous orbitotomy.

    Results. The study showed that endoscopic access to perform orbitotomy through its medial wall is associated with a smaller number of subsequent developments of endophthalmitis and panophthalmitis, which may require enucleation or exentration. Endoscopic access allowed saving the eyeball in most patients in comparison with traditional transcutaneous orbitotomy.

    Conclusion. Endoscopic decompression of the orbit through its medial wall with the development of a purulent-inflammatory process in the orbit with thrombosis of the cavernous sinus reduces the risk of developing endo- and panophthalmitis, which contributes to the preservation of the eyeball as an organ.

    Keywords: cavernous sinus thrombosis, COVID-19 associated cavernous sinus thrombosis, phlegmon of the orbit, endoscopic decompression of the orbit and optic nerve.