Sinus Tumors Invading The Orbit

Johnson, Lenworth N.; Krohel, Gregory B.; Yeon, Elizabeth B.; Parnes, Steven M.

doi:10.1016/s0161-6420(84)34300-7

Cited by 89 publications

(49 citation statements)

References 14 publications

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“…Sinha et al [4] also found similar results and concluded that proptosis is the commonest clinical presentation in neoplastic lesions of nose and paranasal sinuses. Various studies on orbital involvement in sinonasal diseases reported that squamous cell carcinoma of maxillary sinus mostly involves the orbit [2], [5], [6]. Our findings are similar to the findings of most of the similar studies.…”

Section: Discussionsupporting

confidence: 90%

“…In our study we observed two cases of exophthalmos caused by thyroid orbitopathy. Johnson et al studied a series of paranasal sinus tumours where they found 59.49% of the cases had clinical, radiographic or operative evidence of orbital involvement and of which involvement of the orbit was initial presentation in 70% cases [6]. This is bound to differ from our study as our study included all cases where orbit was already involved and proptosis was the ocular presenting feature in 100% cases of sinus tumours.…”

Section: Discussionmentioning

confidence: 70%

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Ophthalmological Manifestations of ENT Diseases: An Overview

Ghosh

Khanna

Baruah

2011

Indian J Otolaryngol Head Neck Surg

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A total number of 62 cases of ophthalmological manifestations caused by various ENT diseases, mostly paranasal tumour extensions, nasopharyngeal tumour and furunculosis of nose were analysed in a retrospective study in relation to their age, sex, clinical, radiological and HP profile. CT scan was considered as the most dependable investigating tool. Different modalities of medical and surgical treatment have been adopted according to location and nature of the disease. A close cooperation is needed between otolaryngologist and ophthalmologist to overcome this challenge.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 70%

Ophthalmological Manifestations of ENT Diseases: An Overview

Ghosh

Khanna

Baruah

2011

Indian J Otolaryngol Head Neck Surg

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“…A total of 79 cases of paranasal sinus tumours were reviewed by Johnson et al [11]. Of these 47 (59%) demonstrated orbital involvement out of which 18 (38%) patients had proptosis and 16 (34%) had nasal obstruction as a presenting complaint.…”

Section: Discussionmentioning

confidence: 99%

“…Lenworth Johnson et al [11] reviewed a total number of 47 cases of para-nansal sinus tumours invading the orbit and found maxillary sinus was the most common site of origin of para-nasal sinus tumours (61%). This is comparable with present study as most of tumours were found to be originating from maxillo-ethmoidal region (47.5%).…”

Section: Discussionmentioning

confidence: 99%

A Study of Tumours Giving Rise to Unilateral Proptosis

Keche

Nitnaware

Mair

et al. 2012

Indian J Otolaryngol Head Neck Surg

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Study of distribution, clinical features, radiological features, histopathological aspects, management and outcomes of tumours giving rise to unilateral proptosis. This is a prospective study including 40 patients with benign and malignant tumours of orbital, paraorbital and other sites giving rise to unilateral proptosis. Final diagnosis was made following detailed radiological and histopathological examination. Then, treatment modality was decided, which included surgery, radiotherapy, chemotherapy or required combination. Proptosis was measured by simple/plastic ruler exophthalmometry method. The maximum number of cases 8(20%) were in age group 31-40 years. The youngest patient was 4 year old and the oldest was 80 years. M:F ratio was 1.85:1. Malignant tumours were 32(80%) and benign tumours were 8(20%). 12 cases were having 3 mm proptosis (minimum) and one case having 18 mm (maximum). Only 4(10%) orbital tumours were responsible for unilateral proptosis. Paraorbital tumours 34(85%) was the major cause for unilateral proptosis and 2(5%) were from distant sites. Surgery was the mainstay of treatment 14(35%), followed by combined (surgery ? radiotherapy) 5(12.5%), chemotherapy 4(10%), There was 4(10%) mortality, 16(40%) improved 3(7.5%) had same status and 17(42.5%) deteriorated. Thus nasal obstruction is the commonest ENT presenting complains in these patients. The major cause of unilateral proptosis was found to be paraorbital tumours (34%). Thus, a case of proptosis should never be ignored but a thorough ENT and ophthalmic examination is necessary. As malignancy is one of the major cause of unilateral proptosis catching and treating them early will reduce mortality.

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“…Na grande maioria dos casos, a neoplasia se apresenta em estágio avançado no momento do diagnóstico (7,16) , não se limitando a uma única cavidade sinusal (5,10,17,21) . O atraso no diagnóstico tem sido atribuído aos sintomas da doença, que comumente simulam aqueles relacionados à doença inflamatória ou sinusite crôni-ca (15,20,23) . A duração dos sintomas pode variar de alguns meses a anos (15,16,19) .…”

Section: (48)unclassified

Proptose ocular como manifestação clínica de tumores malignos extra-orbitários: estudo pela tomografia computadorizada

et al. 2003

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Doenças sistêmicas, doenças orbitárias primárias e lesões extra-orbitárias com extensão secundária para a órbita podem causar proptose ocular. Foram estudados, por tomografia computadorizada, 11 pacientes com proptose ocular causada por tumores malignos extra-orbitários, sem qualquer tratamento prévio do tumor. Houve predomínio de neoplasias não-epiteliais (82%), tendo sido três rabdomiossarcomas (27%) e três linfomas não-Hodgkin (27%). Outros sarcomas estiveram presentes em dois casos (18%), seguidos por linfoma de Burkitt (9%), carcinoma epidermóide (9%) e carcinoma pouco diferenciado (9%). Nove tumores (82%) tiveram origem nas cavidades sinonasais, a maioria (cinco casos) com origem no seio etmoidal. Proptose ocular foi a única alteração oftálmica em quatro casos (36%), e um paciente teve proptose ocular bilateral como único sinal da doença. Dezessete órbitas foram acometidas pelos 11 tumores, já que seis pacientes tiveram comprometimento orbitário tumoral bilateral. Os tumores se estenderam às órbitas preferencialmente através da parede óssea orbitária (16 órbitas; 94%). Das 17 órbitas comprometidas, a maioria (59%) teve todos os compartimentos lesados. Em 16 órbitas o tumor apresentou situação extraconal. À tomografia computadorizada, proptose ocular esteve presente em 15 das 17 órbitas (88%), tendo sido bilateral em quatro casos (oito órbitas). Houve predomínio de proptose ocular grau 2 à tomografia computadorizada (sete pacientes; 47%). Um total de 44 regiões crânio-faciais foi comprometido, além da órbita e do sítio de origem da neoplasia, indicando a grande extensão loco-regional desses tumores no momento do diagnóstico. Unitermos: Proptose ocular; Tumores malignos; Extensão orbitária.Ocular proptosis as a clinical sign of extraorbital malignant tumors: a computed tomography study. Systemic diseases, primary orbital diseases and extraorbital lesions extending into the orbit may lead to ocular proptosis. Eleven patients with ocular proptosis caused by non previously treated extraorbital malignant tumors were studied with computed tomography. Nonepithelial neoplasms were the most common tumors (82%) including three rabdomyosarcomas (27%), three non-Hodgkins lymphomas (27%), and other sarcomas in two patients (18%). Squamous cell carcinoma (9%), Burkitts lymphoma (9%) and poorly differentiated carcinoma (9%) were also identified. The most common primary sites of the tumors were the sinonasal cavities (nine cases; 82%), particularly the ethmoidal sinus (five cases). Ocular proptosis was the only ophthalmic sign in four patients (36%) whereas one patient had bilateral ocular proptosis as the only sign of disease. Seventeen orbits were involved due to six patients had bilateral tumor extension into the orbits. Tumor extension into the orbits was mainly through the orbital bone (16 orbits; 94%). There was involvement of all compartments in most of the orbits (59%). The tumor was extraconal in 16 orbits. Computed tomography revealed ocular proptosis in 15 of the 17 orbits (88%), which was bilateral in four case...

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Sinus Tumors Invading The Orbit

Cited by 89 publications

References 14 publications

Ophthalmological Manifestations of ENT Diseases: An Overview

Ophthalmological Manifestations of ENT Diseases: An Overview

A Study of Tumours Giving Rise to Unilateral Proptosis

Proptose ocular como manifestação clínica de tumores malignos extra-orbitários: estudo pela tomografia computadorizada

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