Nasal Cavity and Paranasal Sinus Diseases Affecting Orbit

Samil, Kahraman Serif; Çokkeser, Yaşar; Akbay, Ercan; Bayaroğulları, Hanifi; Hilal, Kahraman

doi:10.1097/scs.0000000000001827

Cited by 14 publications

(5 citation statements)

References 21 publications

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“…Exophytically growing tumors with a palpable bone-dense surface suggest exostosis or osteoma (41,42), fibrous dysplasia (38), or other even more rare lesions of osseous origin (38,43). Indeed, the paranasal cavities are predilection sites giving rise to osteoma, and these masses of the ethmoid or maxilla can expand into the orbit and periorbital soft tissues (44). Furthermore, VM and hemangioma of the calvaria can grow into the orbit and become symptomatic (45), so infiltration of the orbit can be secondary to a more distant vascular lesion arising at different sites of the skull (18).…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Intraosseous Vascular Malformation of Infraorbital Rim: A Case Report With Literature Survey

et al. 2020

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Background/Aim: Intraosseous orbital hemangiomas or vascular malformations (VM) are rare. This report is intended to complement the experience of diagnosing and treating a rare vascular lesion at this site. Special attention is paid to threedimensional imaging and the morphological distinction between the two entities in this location. Case Report: A 54-year-old female was examined and surgically treated for an exophytic firm mass of the infraorbital, which had become palpable as a hard mass due to growth in size. At first, a bone tumor, for example, an osteoma, was suspected. Intraoperatively, an osseous expansion with distinct fenestrations of the newly grown bone's surface, was detected. The lesion was firmly attaching to the orbital rim. The densely vascularized tumor was well defined to the soft tissues but had grown in continuity from the orbital floor and rim. Vascularized cavities caused the tumor to have a slightly reddish color. The histological examination confirmed the suspicion of the lesion's vascular origin. The lesion's immunohistochemical expression profile approved the final diagnosis of intraosseous VM. Conclusion: The symptoms of intraosseous vascular lesions of the orbit are determined by location and size. Modern imaging techniques facilitate the estimation of tumor-like expansion of lesions. However, the imaging characteristics of intraosseous vascular lesions are very variable. The symptoms of the patient presented herein show that growth phases of a vascular orbital malformation can occur in later stages of life and are initially indistinguishable from a neoplasm. In individual cases, patient care necessitates advanced diagnostic measures to establish the diagnosis and determine surgical therapy.

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Section: Discussionmentioning

confidence: 99%

Symptomatic Intraosseous Vascular Malformation of Infraorbital Rim: A Case Report With Literature Survey

et al. 2020

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“…Revising the literature, Samil et al, 2015 in their results stated that mucoceole was the most common sinonasal disease that presented as proptosis in their patients [8] .…”

Section: Discussionmentioning

confidence: 98%

Proptosis in children caused by sinonasal pathology: A retrospective study

Yousef

Abdel‐Aziz²,

Sabry³

et al. 2023

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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Background: One of the most frequent clinical signs of orbital pathology is proptosis. Because of their close anatomical relationships, para nasal sinus or nasal pathologies can exhibit proptosis. Purpose: To report the 10-years experience of a tertiary medical center (Kasr Elainy hospital-Cairo University) with children presenting with proptosis due to nasal or sinus lesion. Patients and Methods: Patients were identified by file review. Data were collected on demographics, findings on ophthalmologic and imaging evaluations, etiology, treatment, and outcome. Results:The study included 209 patients suffering from proptosis due to nasal or sinus pathology. Age of the patients ranged from 40 days to 16 years. Complicated acute sinusitis with orbital cellulitis, subperiosteal or orbital abscess and allergic fungal sinusitis constituted 93.3% of the presenting cases. Allergic fungal sinusitis and complicated sinusitis with subperiosteal abscess showed statistically-significant association with necessity of surgical intervention; while complicated acute sinusitis with orbital cellulitis showed statistically-significant higher proportion of complete resolution on medical treatment. Both "acute invasive fungal sinusitis" and "Lymphoma" showed statistically-significant association with vision non-improvement. While complicated acute sinusitis with orbital abscess showed statistically-significant higher proportion of vision improvement. Conclusion: Many sinonasal lesions can present with proptosis in childeren. Inflammatory causes were the most common causes of proptosis in children in our study. Proptosis needs to be evaluated completely for proper management and to limit the morbidity associated with it.

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“…It is a slow growing, mucus containing cystic lesion in benign nature. Clinically, it is generally asymptomatic but it may present with various compression findings depending on the location 6,10 . Direct mass compression effect was shown primarily in the pathogenesis of optic neuropathy for onodi cell mucocele.…”

Section: Discussionmentioning

confidence: 99%

“…The cystic and destructive structure of the mucocele can be easily determined with CT. MR plays an important role in demonstrating its relationship with surrounding structures. It is usually treated with an endoscopic surgical approach depending on the extent of mucocele 6,7 …”

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confidence: 99%

Unilateral Vision Loss Due to Isolated Onodi Cell Mucocele

Gozgec

Oğul²

2020

Journal of Craniofacial Surgery

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opting for non-surgical treatment needs to be explained about the possibility of further growth and associated consequences, including the need for regular follow up and warning signs. 8 Nevertheless, surgical intervention is necessary in recurrent cases of OE and nonresponders to conservative treatment. 1,2,7 Besides, in emergency cases with threatened vision, lateral canthotomy, or orbital decompression is warranted before the definitive surgical treatment. 1,2 The most preferred surgical procedure for nose blow induced OE is surgical repair of the defect, and in cases with co-existing osteoma, it is the excision of lesions either by endoscopic or open approach. 1,[5][6][7] As reported by the previous studies, if excised appropriately, the osteoma involving the orbital walls does not recur. [4][5][6][7]9,10 In summary, OE after a forceful nasal blowing or sneezing can be attributed to incidental osteoma involving the orbital wall. Such association can be detected by CT, which should be the investigation of choice in all cases of OE. Though most of such cases require invariable surgical excision, small osteoma can be managed by careful observation.

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Nasal Cavity and Paranasal Sinus Diseases Affecting Orbit

Cited by 14 publications

References 21 publications

Symptomatic Intraosseous Vascular Malformation of Infraorbital Rim: A Case Report With Literature Survey

Symptomatic Intraosseous Vascular Malformation of Infraorbital Rim: A Case Report With Literature Survey

Proptosis in children caused by sinonasal pathology: A retrospective study

Unilateral Vision Loss Due to Isolated Onodi Cell Mucocele

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