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8 "Complications"
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Original article
Orbital complications of acute rhinosinusitis in adults: a 21-year experience
Yung Jin Jeon, Woohyen Jin, Yeon-Hee Joo, Hyun-Jin Cho, Sang-Wook Kim
Kosin Med J. 2024;39(2):120-126.   Published online June 4, 2024
DOI: https://doi.org/10.7180/kmj.24.111
  • 12,562 View
  • 153 Download
  • 3 Citations
Abstract PDFPubReader   ePub   
Background
Orbital complications arising from acute rhinosinusitis (ARS) are a major concern for clinicians and serve as important warning indicators of ARS. Prompt recognition and appropriate management are crucial for preventing potential vision-threatening sequelae. Orbital complications of rhinosinusitis are markedly more common in children than in adults. The aim of this study was to investigate the clinical characteristics and treatment outcomes of orbital complications of ARS in adult patients.
Methods
This retrospective observational cohort study analyzed the medical records of 176 patients admitted for orbital cellulitis/abscess (ICD code: H050) who underwent orbit or paranasal computed tomography from January 2001 to February 2022 at a tertiary hospital.
Results
Eighteen adults with a mean age of 53.2±18.9 years were diagnosed with orbital complications due to ARS: five (27.8%) had preseptal cellulitis, eight (44.4%) had orbital cellulitis, and five (27.8%) had subperiosteal orbital abscess. None of the patients had an orbital abscess or cavernous sinus thrombosis. All patients had unilateral orbital complications (7 right and 11 left) and were managed with intravenous antibiotics for an average of 10.3±6.6 days. Five patients with subperiosteal orbital abscesses underwent intranasal endoscopic drainage at an average of 1.4±1.9 days after admission, while two patients required additional external drainage. Complete recovery was observed in all patients.
Conclusions
Conservative antimicrobial therapy can be effective for treating orbital complications from ARS, and not all adult patients require immediate surgical intervention for subperiosteal abscesses. Nonetheless, careful monitoring is essential, and an ophthalmologist must check patients’ visual acuity to prevent irreversible blindness.

Citations

Citations to this article as recorded by  
  • Imaging characteristics and clinical correlations of orbital infections in pediatric sinusitis
    Xing Zhang, Chen Wang, Lulin Bi, Shuxin Wen
    Head & Face Medicine.2026;[Epub]     CrossRef
  • Orbital Complications of Rhinosinusitis in Adults: A 10-Year Retrospective Cohort Study
    José Alberto Fernandes, António Andrade, Pedro Valente, Ricardo Vaz
    Cureus.2025;[Epub]     CrossRef
  • Beyond the sinus: orbital extension of acute bacterial rhinosinusitis – a case report and literature review
    Girish Mishra, Yojana Sharma, Manali B. Gaudani, Simran J. Parmar
    International Journal of Otorhinolaryngology and Head and Neck Surgery.2025; 11(6): 765.     CrossRef
Review article
Basic knowledge of endoscopic retrograde cholangiopancreatography
Jung Wook Lee
Kosin Med J. 2023;38(4):241-251.   Published online December 26, 2023
DOI: https://doi.org/10.7180/kmj.23.151
  • 12,489 View
  • 253 Download
  • 1 Citations
Abstract PDFPubReader   ePub   
Endoscopic retrograde cholangiopancreatography (ERCP) was first performed in the late 1960s. Due to advancements in instruments, devices, and techniques, ERCP has played an important role in the management and diagnosis of pancreatobiliary disorders. However, ERCP is accompanied by the risk of various complications even if performed by an expert. The incidence of ERCP complications is approximately 4% to 10%, while the incidence of fatal complications, such as death, is less than 0.5%. To prevent adverse events, experts performing ERCP must recognize and address ERCP-related complications and understand the various techniques. In this review, we summarize the complications and techniques of ERCP.

Citations

Citations to this article as recorded by  
  • Risk Factors for Post‐Endoscopic Retrograde Cholangiopancreatography Pancreatitis in Patients With Post‐Endoscopic Sphincterotomy Papillae
    Shuhei Shibata, Katsunobu Tawada, Hideyuki Takashiro, Shinichi Tazawa, Masatoshi Usui, Hiromasa Nomoto, Hirofumi Saito
    DEN Open.2026;[Epub]     CrossRef
Case reports
Perioperative cutaneous complications in an elderly patient due to inappropriate use of a forced-air warming device and underbody blanket: a case report
Myounghun Kim, Soo Jee Lee, Beomseok Choi, Geunho Lee, Seunghee Ki
Kosin Med J. 2023;38(4):288-292.   Published online December 6, 2023
DOI: https://doi.org/10.7180/kmj.23.136
  • 6,303 View
  • 58 Download
  • 1 Citations
Abstract PDFPubReader   ePub   
Forced-air warming is commonly utilized to prevent perioperative hypothermia. Underbody warming blankets are often employed to secure a larger area for patient warming. While forced-air warming systems are generally regarded as safe, improper usage poses a risk of cutaneous complications. Additionally, the influence of underbody blankets on cutaneous complications remains uncertain. We present a case of cutaneous complications resulting from the improper utilization of a forced-air warming device and an underbody blanket. A 79-year-old man presented to the hospital for robotic proctectomy under general anesthesia. The surgery lasted for 7 hours, and the forced-air warming device with underbody blanket operated continuously for 5 hours intraoperatively. The surgery was completed without any incidents. However, first-degree burns on the patient’s back, along with superficial decubitus ulcers on his right scapula, were observed after surgery. To prevent cutaneous complications, clinicians must adhere to the manufacturer's guidelines when utilizing a forced-air warming system. Compared to overbody blankets, underbody blankets have limitations in monitoring cutaneous responses. Ensuring patient safety requires selecting an appropriate blanket for scheduled operations.

Citations

Citations to this article as recorded by  
  • Comparison between upper body and full underbody forced-air warming blanket in pediatric patients undergoing cardiovascular interventions under general anesthesia: a randomized controlled trial
    Jung-Bin Park, Tae-Won Kim, Sang-Hwan Ji, Young-Eun Jang, Ji-Hyun Lee, Jin-Tae Kim, Hee-Soo Kim, Eun-Hee Kim
    BMC Anesthesiology.2025;[Epub]     CrossRef
The Importance of Lamina Size Measurement and Proper Implants Selection before Laminoplasty : Two Case Reports
Dong Hwan Kim, Su Hun Lee, Dong Ha Kim, Kyoung Hyup Nam, In Ho Han, Byung Kwan Choi
Kosin Med J. 2021;36(2):169-174.   Published online December 31, 2021
DOI: https://doi.org/10.7180/kmj.2021.36.2.169
  • 3,938 View
  • 19 Download
Abstract PDFPubReader   ePub   

Open door laminoplasty using plates is a safe and effective procedure for multi-level cord compression. To achieve stable laminar arch, various types of plate have been developed and used. Now, we introduce two rare complications related to the laminar shelf of plate.

In the first case, we used the wider laminar shelf plate because the elevated lamina did not fit well into the usual laminar shelf. During follow-up, cord compression due to laminar shelf was observed.

And in the second case, the laminar shelf of plate did not fit into the elevated lamina, so we inserted it with a little bit of force. But the patient’s symptom was not improved. On CT image, the inner cortical bone of the lamina was fractured.

To prevent these complications, surgeons need to consider the thickness of the lamina and the size of the laminar shelf before surgery.

A double-knotted pulmonary artery catheter with large loop in the right internal jugular vein: A case report
Kyoung Sub Yoon, Jung A Kim, Jeong In Hong, Jeong Ho Kim, Sang Yoong Park, So Ron Choi
Kosin Med J. 2018;33(2):240-244.   Published online December 31, 2018
DOI: https://doi.org/10.7180/kmj.2018.33.2.240
  • 3,335 View
  • 12 Download
  • 1 Citations
Abstract PDFPubReader   ePub   

Knotting of a pulmonary artery catheter (PAC) is a rare, but well-known complication of pulmonary artery (PA) catheterization. We report a case of a double-knotted PAC with a large loop in a patient with hepatocellular carcinoma (HCC) undergoing liver transplantation, which has been rarely reported in the literature. A PAC was advanced under pressure wave form guidance. PAC insertion was repeatedly attempted and the PAC was inserted 80 cm deep even though PAC should be normally inserted 45 to 55 cm deep. However, since no wave change was observed, we began deflating and pulling the balloon. At the 30-cm mark, the PAC could no longer be pulled. Fluoroscopy confirmed knotting of the PAC after surgery (The loop-formed PAC was shown in right internal jugular vein); thus, it was removed. For safe PA catheterization, deep insertion or repeated attempts should be avoided when the catheter cannot be easily inserted into the pulmonary artery. If possible, the insertion of PACs can be performed more safely by monitoring the movement of the catheter under fluoroscopy or transesophageal echocardiography.

Citations

Citations to this article as recorded by  
  • Knot formation of a pulmonary artery catheter associated with right internal jugular vein thrombosis: a case report
    Masayo Kawakami, Masato Hara, Daisuke Fujita, Masaki Yano, Teruyuki Hiraki
    International Journal of Surgery Case Reports.2026; 138(3): 547.     CrossRef
Knot Formation at Removal of an Epidural Catheter Placed Against Insertion Resistance Encountered at the Entrance of the Epidural Space
Byung Tae Kil, Bong Il Kim, Jong Hae Kim
Kosin Med J. 2016;31(2):184-190.   Published online January 20, 2016
DOI: https://doi.org/10.7180/kmj.2016.31.2.184
  • 2,709 View
  • 7 Download
Abstract PDFPubReader   ePub   
Abstract

Knotting of an epidural catheter occurs very rarely with an estimated incidence of 0.0015%. We present a case of an epidural catheter knot formed at removal of an epidural catheter following a forceful insertion of the catheter against resistance met at the entrance of the epidural space during threading of the catheter through Tuohy needle placed uneventfully in a 65 year-old male patient undergoing epidural anesthesia. During removal of the epidural catheter, significant resistance was encountered on traction and it was found that approximately 1.5 ㎝ portion of the catheter had been retained within the patient's subcutaneous tissue. Firm traction was employed to withdraw the catheter against the resistance. The catheter was pulled out uneventfully from the patient. A knot estimated to be formed during removal of the catheter was observed at 0.6 ㎝ proximal to the catheter tip. No complications and side effects were noted until the patient's discharge.

Original article
Catheter Fracture of a Totally Implantable Venous Device Due to Pinch Off Syndrome in Breast Cancer: A Case Report
Yoonseok Kim
Kosin Med J. 2016;31(2):167-172.   Published online January 20, 2016
DOI: https://doi.org/10.7180/kmj.2016.31.2.167
  • 3,339 View
  • 7 Download
  • 1 Citations
Abstract PDFPubReader   ePub   
Abstract

Totally implantable venous devices are used in medical care for parenteral nutrition, vascular access, administrating chemotherapeutic agents and so on. Although the large variety of catheter complications, catheter fracture is a rare but serious complication. The pinch off syndrome is caused by the compression of the catheter between the clavicle and first rib, and may lead to fracture and possible dislocation of the catheter. We report here the case history of a patient with metastatic breast cancer who developed a rare complication of subclavian catheter fracture as a consequence of pinch off syndrome.

Citations

Citations to this article as recorded by  
  • Pinch-off syndrome ou syndrome de la Pince Costo-Claviculaire
    E.A. Allassane, M. El Hammoumi, M. Bhairis, F. El Oueriachi, E.H. Kabiri
    Revue de Pneumologie Clinique.2018; 74(6): 492.     CrossRef
Case report
Percutaneous coronary stenting in guide-induced aortocoronary dissection
Jung Ho Heo
Kosin Med J. 2007;22(1):296-300.   Published online June 30, 2007
  • 827 View
  • 2 Download
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