Glue Embolization Without Surgical Resection for Orbital Venolymphatic Malformation

Abstract

We thought that mucocele was most likely based on the imaging findings, and endoscopic sinus surgery was planned to remove it. When right sphenoidotomy was performed, a mass was found in the sphenoid sinus. A polypoidal capsule surrounded the mass, and fluid and fibrous tissue were present inside the mass (Fig. 2A). No evidence of the involvement of the superior and posterior wall of the sphenoid sinus, sella turcica, and dura mater was found. The pathologic findings indicated that the epithelial cells resemble ameloblastoma with peripheral palisading cells and central wet keratins (Fig. 2B). This finding is consistent with the pathologic findings on craniopharyngioma. No remarkable complications after surgery and recurrence after more than 5 years of follow-up were observed.

Orbital Vascular Malformations: Relationship Between Enophthalmos and Clinically Apparent Distensibility with Valsalva

“…In some cases, there may be a role for leaving the glued lesion in situ. 15 This would assist in ameliorating the symptoms attributed to the distensibility of the malformation while simultaneously minimizing enophthalmos. This choice would be contextualized within the patient’s symptomatology, and a more conservative observational approach may be appropriate for minimally symptomatic cases.…”