Orbital Fat Exposure During Sinus Surgery

Indications:

• Often occurs when removing uncinate process or lamella along the medial orbital wall

Highlights:

• Blood-stained orbital fat can be easily mistaken for mucosa
• Palpation of orbit will often result in visible protrusion of fat intranasally
• Do not need to replace fat into orbital cavity or repair the bony defect

Keep in Mind/Things to Remember:

• Powered instrumentation should be avoided to minimize risk of inadvertent damage to orbital contents.