Orbital alveolar echinococcosis: A case report

Mohammadi, Saeed; Hassanpoor, Narges; Hosseini, Seyedeh Simindokht; Shahbazi, Narges; Tabatabaie, Seyed Ziaeddin; Rajabi, Mohammad Taher

doi:10.1016/j.joco.2017.09.005

Cited by 6 publications

(7 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1,3 Considering the pathophysiology of the isolated orbital mucoceles differs, and there is no communication with the paranasal sinuses, some authors suggest that treatment requires complete excision or destruction of the ectopic sinus tissue within the orbit by external approaches. 1,2,5,6 However, these external approaches have many disadvantages, including eyelid or upper lip scar, ectropion or entropion of the eyelid, periorbital swelling and pain, diplopia, prolonged operation time, and healing time. 5,7,8 Traditionally, treatment of the paranasal mucoceles is the removal of the mucosal lining and obliteration of the sinus.…”

Section: Discussionmentioning

confidence: 99%

“…Radiologically, mucocele has typical characteristics, but often nonspecific depending on the amount of its protein content or superinfection 1,3 . Considering the pathophysiology of the isolated orbital mucoceles differs, and there is no communication with the paranasal sinuses, some authors suggest that treatment requires complete excision or destruction of the ectopic sinus tissue within the orbit by external approaches 1,2,5,6 . However, these external approaches have many disadvantages, including eyelid or upper lip scar, ectropion or entropion of the eyelid, periorbital swelling and pain, diplopia, prolonged operation time, and healing time 5,7,8 .…”

Section: Discussionmentioning

confidence: 99%

“…3,4 Although the treatment choice of isolated intraorbital mucocele has not been established because of the rarity of the disease, some authors suggest that the optimum treatment is the complete removal of the mucocele to exclude the possibility of recurrence from remnant mucosa. 1,2,5,6 However, the complete removal by the external approach has many disadvantages. 5,7,8 Many cases of paranasal sinus mucocele are successfully treated with endoscopic marsupialization.…”

Section: Endoscopic Intranasal Marsupialization Of the Isolated Mucoc...mentioning

confidence: 99%

“…In T1-weighted imaging series of magnetic resonance (MR) image, the lesion has intermediate or low signal intensity without gadolinium enhancement and high signal intensity in T2-weighted series 3,4 . Although the treatment choice of isolated intraorbital mucocele has not been established because of the rarity of the disease, some authors suggest that the optimum treatment is the complete removal of the mucocele to exclude the possibility of recurrence from remnant mucosa 1,2,5,6 . However, the complete removal by the external approach has many disadvantages 5,7,8 .…”

mentioning

confidence: 99%

See 3 more Smart Citations

Endoscopic Intranasal Marsupialization of the Isolated Mucocele in the Inferior Orbit

Lee

Park

Jang

et al. 2021

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Complications of tonsillitis can be divided into non-suppurative and suppurative. Suppurative complications are parapharyngeal abscess retropharingeal abscess, mainly peritonsillar abscess. 1 None of these complications, which may require surgical intervention in the treatment, are found in our patient's history. The patient only described severe tonsil infections, all of which were treated with antibiotics. Anterior plica perforation associated with tonsillitis has been reported in the literature. 2 However, the posterior plica perforation associated with tonsillitis could not be detected in our scan. The reported data showed a posterior plica perforation as a surgical complication after tonsillectomy and anterior plica perforation during orotracheal intubation. 3,4 In the present case, the entire tonsil was not removed to prevent the expansion of the perforation. In addition, the remaining tonsil tissue was sutured to the upper pole to provide the closure of the perforation. In the control examination of the patient, although the perforation was not covered as we wanted, nasal leakage was very rare.It has been reported in studies that partial tonsil resection can prevent recurrent tonsillitis attacks. 5 In our case, there was no attack of tonsillitis in the ten months after the operation. CONCLUSIONPosterior plica perforation is a rare complication that can be developed after tonsillectomy. It probably occurs as a result of traumatic damage and/or excessive cauterization of the posterior plica. But posterior plica perforation due to recurrent tonsillitis was not reported before. Adhesions due to recurrent infections may be the cause of perforation. If perforation identified during surgery surgical strategy will be rearranged to avoid postoperative complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Endoscopic Intranasal Marsupialization Of the Isolated Mucoc...mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic Intranasal Marsupialization of the Isolated Mucocele in the Inferior Orbit

Lee

Park

Jang

et al. 2021

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

show abstract

“…Несомненно, наибольшую информацию по расположению паразитарной кисты можно получить при компьютерной (КТ) и магнитно-резонансной томографии (МРТ). Эти исследования позволяют определить зону глазницы (наружная, внутренняя и вершина), интра-или экстракональное расположение, выявить кисту в слезной железе или экстраокулярной мышце [18,19].…”

unclassified

Clinical Case of Echinococcosis of the Orbit. Modern Approaches to Diagnosis and Treatment

et al. 2022

View full text Add to dashboard Cite

The article presents the epidemiology of echinococcosis in Russia, its strains, their pathogenicity for humans. The ways of spread and infection of the parasite, as well as the features of invasion into the human body, are indicated. The role of radiation methods for diagnosing echinococcosis using ultrasound, CT and MRI is described in detail. The reasons for the low appealability of patients with echinococcosis of the orbital organocomplex and the low efficiency of drug treatment are indicated. The importance of early surgical treatment for patients with lesions of the orbital organocomplex is emphasized. A clinical case of observation of a patient with primary multiple echinococcosis with damage to the orbital organocomplex, as well as the liver, lungs and spleen is presented. The patient complained of exophthalmos of the right eye to the clinic of ophthalmology of Professor V.V. Volkov Military Medical Academy of S.M. Kirov. An objective examination revealed signs of impaired position and mobility of the exophthalmos, impaired visual functions, electrical response of the retinal. In the fundus marked signs of swelling of the optic nerve. According sockets CT revealed the formation of cystic right orbit emanating from the medial rectus muscle remodeling medial orbital wall and a bottom; right-sided exophthalmos. According to MRI determined pattern of cystic formation, coming from the medial rectus muscles of the right eye. The cyst led to a violation of visual functions, there was a risk of rupture and dissemination of the parasite in the body. With this in mind, it was decided to remove it from the eye socket. During transnasal endoscopic intervention, the neoplasm was removed from the right orbit. The postoperative period was uneventful. Considering the rarity of echinococcus lesions of the orbital organocomplex on the territory of Russia, it is necessary to use an individual approach for surgical intervention in patients with this pathology. An interdisciplinary approach allows minimally traumatic removal of an echinococcal cyst from the orbit. It is noted that the duration of antiparasitic therapy should be determined in each case individually.

show abstract