Proptosis in Otorhinolaryngology: An Overview

Nazeer, Novshaba Novshaba; Ivaturi, Phani Bhushan

doi:10.1055/s-0040-1709986

Cited by 4 publications

(6 citation statements)

References 8 publications

(8 reference statements)

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“…All patients underwent endoscopic otolaryngological examination and tone аudiometry, the results of ophthalmological and neurological examinations were studied [8]. In addition, the following laboratory examinations were performed: general and biochemical blood tests, coagulation test, determination of D-dimer parameters, and cerebrospinal fluid (CSF) analysis [5,9]. Neuroimaging methods included magnetic resonance imaging (MRI) and computed tomography (CT) with contrast medium.…”

Section: Materials and Methods Of Researchmentioning

confidence: 99%

“…CVT in patients was determined by the presence of some prevailing syndromes: isolated intracranial hypertension (headache), focal neurological deficit syndrome, ophthalmological syndrome, neuroimaging data [4,9].…”

Section: Materials and Methods Of Researchmentioning

confidence: 99%

“…Currently, the diagnosis of ADVC is based on the confirmation of clinical data by the results of neuroimaging studies (computed tomography, magnetic resonance imaging (MRI), MR venography) [9]. But even these diagnostic methods are not absolutely sensitive for this pathology.…”

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confidence: 99%

“…Visualization of high density thrombus in the lumen of cavernous sinus is possible only in 25% of cases. T1 and T2 MRI is also not a reliable diagnostic criterion, as it depends on the stage of thrombus formation -the signal may be both absent and intensified [9]. MR venography has a greater diagnostic value.…”

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confidence: 99%

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Peculiarities of the differential diagnosis of different types of cerebral sinus and vein thrombosis in patients with ENT organs involvement

et al. 2022

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The paper is devoted to the problems of diagnosis of septic and aseptic forms of central venous thrombosis. The aim of the study was to study the clinical manifestation and lesions of the ear, nose and throat, in patients with aseptic central venous thrombosis in order to increase the efficiency of differential diagnosis of various forms of thrombosis and to determine the tactics of further treatment of patients with this disease. Variants of manifestation of lesions of Lesions of the ear, nose and throat were studied in 14 patients with aseptic central venous thrombosis who were hospitalized for the period from 2016 to 2019, the results of their ophthalmological and neurological examination, as well as laboratory studies are given. It was found that among patients with cerebral venous thrombosis in most cases (82.4%) various changes in otolaryngological status were detected, of which 21.4% of cases – with septic lesions of the ENT organs, 78.6% of cases – with aseptic changes. During the examination, the character of these pathological changes in otolaryngology status in non-purulent lesions of the ENT organs (swelling of the soft tissues of the face, sinus mucosa or their necrosis, dysfunction of the pharyngeal muscular system, neurosensory deafness) were formulated, which could be explained by secondary ischemic tissue changes and impaired venous outflow of the soft tissues of the face. Also, the absence of a primary purulent focus of infection and septic changes in peripheral blood and cerebrospinal fluid in patients with a clinically confirmed diagnosis of CVT, confirmed the aseptic (primary) form of the disease. Patients with aseptic CVT are assigned direct anticoagulant therapy and symptomatic therapy depending on the presence of cerebral and focal neurological symptoms, which is radically different from the therapeutic tactics used by patients with septic CVT. Thus, when conducting a differential diagnosis of different forms of CVT, for the choice of therapeutic strategy, in addition to the standard algorithm of examination of the patient should take into account the nature of changes in otolaryngological status.

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Section: Materials and Methods Of Researchmentioning

confidence: 99%

Section: Materials and Methods Of Researchmentioning

confidence: 99%

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confidence: 99%

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Peculiarities of the differential diagnosis of different types of cerebral sinus and vein thrombosis in patients with ENT organs involvement

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“…18 A study which conducted detailed assessment of 53 patients who had proptosis, reported the most common aetiology found was neoplastic (60%) of which sinonasal squamous cell carcinoma followed by juvenile nasopharyngeal angiofibroma were the most common causes 14 with similar findings reported from another study in the same region as well. 19 In a prospective study commonest cause of proptosis was malignancy of nose and paranasal sinuses (27.3%) of which squamous cell carcinoma was common. Frontoethmoid mucocele (22.7%) was the second common cause followed by fungal sinusitis.…”

Section: Per-centagementioning

confidence: 99%

Ophthalmological Symptom Presentations in Ear, Nose and Throat Diseases - A Cross-sectional Study from a South Indian Centre

Manjumol

Asha

Ahmed

2022

BJOHNS

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Introduction Ophthalmological symptoms are common in ear, nose and throat conditions. Orbital involvement and ophthalmological presentations may be indicative of the extensive and aggressive nature of the pathology. This study evaluated the causes of various ophthalmological presentations in relation to primary ENT diseases in patients attending the ENT Department of a government tertiary referral teaching hospital. Material and Methods Sixty patients with ophthalmological presentations arising out of primary ENT diseases were assessed in detail. Comprehensive physical, ophthalmological and ENT examinations were done. Ophthalmological and ENT diagnoses, treatment details, outcome and complications if any were also noted. Results Most number of patients were in the age group 51 to 60 years (14; 23.4%). Most common ophthalmological symptom was periorbital oedema (51.6%) followed by epiphora (48.3%); the most common ENT symptom was headache (50%) followed by nasal discharge (48.3%). Most common diagnosis among patients was sinusitis (46.7%) followed by mucocele (21.7%). Most common (47%) otorhinological diagnosis associated with proptosis in this study was infections in the form of orbital cellulitis or abscess associated with sinusitis. Majority (43, 71.7%) of the study sample had surgical management. Conclusion This study reiterates the need for a high index of suspicion from the part of the ophthalmologist to look beyond eye diseases as causes for ophthalmological presentations and from the part of otorhinolaryngologist to be aware of various non-ENT symptoms secondary to ear, throat and nose diseases. A close collaboration between the ophthalmology and ENT departments is essential in successful management of such patients.

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Imaging findings of juvenile nasopharyngeal angiofibroma invading orbital apex and middle cranial fossa: a case report

Castellana,

Fanelli,

Lunardi

et al. 2023

Egypt J Radiol Nucl Med

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Background Juvenile nasopharyngeal angiofibroma (JNA) is an infrequent, highly vascular tumor that predominantly affects male adolescents. Although benign, it rarely may exhibit invasive growth, leading to significant morbidity, as in our case presentation. Diagnosis relies on clinical evaluation and imaging, with MR and CT playing vital roles in confirming the tumor's presence, determining its extent, and aiding in treatment planning. MR shows a mass with signal voids at T2-weighted images and intense contrast enhancement at T1-weighted images, while CT shows bone remodeling and destruction. A biopsy is usually avoided due to bleeding risks. Case presentation We present a case of a 16-year-old male with nasal obstruction and recurrent epistaxis from the right nostril, headache, and mucopurulent rhinorrhea. Furthermore, he had vision impairment in the right eye for one week associated with proptosis and periorbital swelling. MR and CT imaging evidenced the presence of JNA with extensive involvement in the nasal cavity, nasopharynx, pterygopalatine fossa, and infratemporal fossa. Moreover, the mass invaded the orbital apex and middle cranial fossa contacting the cavernous sinus and internal carotid artery. Preoperative embolization and complete surgical resection were performed. No complications occurred in the postoperative period and histopathological analysis confirmed the diagnosis of JNA. No recurrences were found at 12 months MR follow-up. Conclusions Early detection and accurate imaging evaluation are essential for the effective management of JNA. Regular post-treatment MR follow-ups are crucial to detect recurrences or assess fibrosis stability. MR and CT continue to be indispensable tools in the diagnosis and follow-up of JNA.

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Proptosis in Otorhinolaryngology: An Overview

Cited by 4 publications

References 8 publications

Peculiarities of the differential diagnosis of different types of cerebral sinus and vein thrombosis in patients with ENT organs involvement

Peculiarities of the differential diagnosis of different types of cerebral sinus and vein thrombosis in patients with ENT organs involvement

Ophthalmological Symptom Presentations in Ear, Nose and Throat Diseases - A Cross-sectional Study from a South Indian Centre

Imaging findings of juvenile nasopharyngeal angiofibroma invading orbital apex and middle cranial fossa: a case report

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