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https://www.readbyqxmd.com/read/28203199/plexiform-neurofibroma-involving-the-lacrimal-gland
#1
Mikael Hofsli, Nico Gampenrieder, Steffen Heegaard
BACKGROUND: To present a rare case of a 2-year-old girl with neurofibromatosis type 1 (NF1) who presented with ptosis of the right upper eyelid along with a tumor in the eyelid. METHODS: A magnetic resonance imaging scan of the orbit revealed a solid tumor located extraconally at the site of the right lacrimal gland. A transcranial orbitotomy was performed. RESULTS: Histopathological examination demonstrated expanded nerve branches/fascicles cut in various planes in between normal lacrimal gland acini...
January 2017: Case Reports in Ophthalmology
https://www.readbyqxmd.com/read/28175869/lateral-orbitotomy-approach-for-lesions-involving-the-middle-fossa-a-retrospective-review-of-thirteen-patients
#2
Joseph D Chabot, Paul A Gardner, S Tonya Stefko, Nathan T Zwagerman, Juan Carlos Fernandez-Miranda
No abstract text is available yet for this article.
February 1, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28156247/fronto-orbitozygomatic-approach-functional-and-cosmetic-outcomes-in-a-series-of-169-patients
#3
Nicola Boari, Alfio Spina, Lodoviga Giudice, Francesca Gorgoni, Michele Bailo, Pietro Mortini
OBJECTIVE Advantages of the fronto-orbitozygomatic (FOZ) approach have been reported extensively in the literature; nevertheless, restoration of normal anatomy and the esthetic impact of surgery are increasingly important issues for patients and neurosurgeons. The aim of this study was to analyze functional and cosmetic outcomes in a series of 169 patients with different pathologies who underwent surgery in which the FOZ approach was used. METHODS Between January 2000 and December 2014, 250 consecutive patients underwent surgery with an FOZ approach as the primary surgical treatment...
February 3, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28131871/cavernous-venous-malformation-cavernous-hemangioma-of-the-orbit-current-concepts-and-a-review-of-the-literature
#4
REVIEW
Luigi Calandriello, Gabriela Grimaldi, Gianluigi Petrone, Mario Rigante, Sergio Petroni, Monica Riso, Gustavo Savino
The cavernous venous malformation of the orbit, previously called cavernous hemangioma, is the most common primary orbital lesion of adults. Cavernous venous malformation occurs more often in women and typically presents in the fourth and fifth decades of life. It is a benign vascular malformation characterized by a well-defined capsule and numerous large vascular channels. The most common sign of cavernous venous malformation is progressive axial proptosis from the preferential involvement of the intraconal orbital space...
January 26, 2017: Survey of Ophthalmology
https://www.readbyqxmd.com/read/28099230/primary-orbital-chondromyxoid-fibroma-a-rare-case
#5
Martin G Mullen, Marie Somogyi, Sean P Maxwell, Vikram Prabhu, David K Yoo
A 56-year-old male with history of chronic sinusitis was found to have a 3 cm left orbital lesion on CT. Subsequent MRI demonstrated a multilobulated enhancing soft tissue lesion at the superotemporal region of the left orbit. Initial biopsy was reported as a low-grade sarcoma. On further evaluation, a consensus was made that the lesion was likely a benign mixed mesenchymal type tumor but should nonetheless be surgically removed. Left lateral orbitotomy was performed which revealed a tumor originating in the lateral orbital bone with segments eroding through the wall of the orbit...
January 17, 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28092140/a-systematic-review-of-sinonasal-oncocytomas-and-oncocytic-carcinomas-diagnosis-management-and-technical-considerations
#6
REVIEW
Zerina Hodzic, Nicholas R Rowan, Ryota Kashiwazaki, Thomas J Willson, Eric W Wang, Stella E Lee
BACKGROUND: Oncocytomas and oncocytic carcinomas are rare tumors of the sinonasal cavity with the propensity for local invasion. This report and systematic review details a case of a nasal oncocytoma involving the lacrimal sac and provides an update of the current literature. METHODS: A systematic literature review was performed using PubMed and Ovid databases. The data obtained from published articles with sinonasal oncocytoma/oncocytic carcinoma as the primary diagnosis included patient demographics, presentation, radiographic and histologic findings, management, and recurrence rates...
January 16, 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/28088934/clinical-diagnosis-and-treatment-of-intraorbital-wooden-foreign-bodies
#7
Jia Li, Li-Ping Zhou, Jing Jin, Hong-Feng Yuan
PURPOSE: The intraorbital wooden foreign body is often misdiagnosed or missed on computed tomog- raphy (CT) scan, due to the invisible or unclear images. The residual foreign bodies often occur during surgical removal. The clinical manifestations, imaging features and treatment of intraorbital wooden foreign bodies were discussed in this study. METHOD: We retrospectively analyzed 14 cases of intraorbital wooden foreign bodies managed at our hospital between January 2007 and May 2015...
December 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/27857873/superolateral-orbitotomy-for-intraorbital-tumors-comparison-with-the-conventional-approach
#8
Mine Seiichiro, Higuchi Yoshinori, Horiguchi Kentaro, Saeki Naokatu
Objectives This study aims to compare the surgical and functional outcomes of superolateral orbitotomy (group A) and conventional superior orbitotomy (group B) for benign orbital tumors. Design A retrospective review of 31 consecutive orbital tumor surgeries with the fronto-orbital approach was conducted. Setting Procedures were performed at two institutions by a single surgeon. Participants A total of 31 orbital tumor patients participated in this study. Overall, 11 intraconal and 2 extraconal tumors in group A and 11 intraconal and 7 extraconal tumors in group B were resected by superolateral orbitotomy, respectively...
December 2016: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/27853024/extraskeletal-osteosarcoma-of-the-orbit-a-clinicopathologic-case-report-and-review-of-literature
#9
V M D S de Maeyer, P A F A Kestelyn, Akash D Shah, C M Van Den Broecke, H G N Denys, C E Decock
Primary extraskeletal osteosarcoma (EOS) is an extremely rare malignancy. In this report, the clinical course of a 32-year-old man presenting with proptoses is described. Medical history included Hirschsprung disease (HD), horseshoe kidney, azoospermia, and vertebral anomalies. Imaging of the orbit showed an oval, well-defined heterogeneous mass adjacent to the lateral wall of the orbit. The patient underwent a lateral orbitotomy and complete excision of the mass. The mass was not attached to the bone. Histopathologic and immunohistochemical examination confirmed the diagnosis of an EOS...
September 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27849318/intraorbital-foreign-bodies-clinical-features-and-outcomes-of-surgical-removal
#10
Ayşe Dolar Bilge, Hakan Yılmaz, Bülent Yazıcı, Faisal Naqadan
BACKGROUND: The present study is an evaluation of clinical features and management outcomes of patients operated on for intraorbital foreign bodies (FBs). METHODS: Medical records of 24 patients who underwent surgery for intraorbital FBs within a 10-year period were reviewed. RESULTS: Twenty patients (83%) were male and 4 (17%) were female (mean age: 28 years; range: 4-69 years). Ten patients (42%) presented within 48 hours of injury, 7 (29%) within 3 days to 1 month, and 7 (29%) more than 1 month after injury...
September 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/27626153/extraconal-cystic-schwannoma-mimicking-an-orbital-dermoid-cyst
#11
Eduardo Damous Feijó, Ana Carla de Souza Nery, Fábio Ramos Caiado, Aline Maria Prehis, Roberto Murillo Limongi
To our knowledge, we report the first case of an extraconal orbital cystic schwannoma in Brazilian literature. The tumor grew slowly and progressively and was associated with minimal eccentric proptosis and diplopia. The radiologic study (orbital computed tomography) revealed a rounded, encapsulated, and extraconal cystic mass in the superior medial region of the right orbit in the supraorbital and supratrochlear nerve topography. An anterior orbitotomy with full excision of the tumor was performed, and the histopathology examination revealed that the tumor was a schwannoma...
July 2016: Arquivos Brasileiros de Oftalmologia
https://www.readbyqxmd.com/read/27625965/a-case-report-of-primary-orbital-non-hodgkin-s-lymphoma-causing-complete-vision-loss
#12
Neerav Lamba, Douglas P Dworak, Shyam A Patel, Rohini Chennuri
A 29-year-old male with acquired immunodeficiency syndrome presented with a week of left eye blurriness, which then progressed to complete vision loss. On exam, the left pupil was nonreactive to light, and fundoscopy showed significant optic nerve edema. CT and MRI of the left orbit showed a mass lesion compressing the posterior aspect of the sclera with diffuse thickening and contrast enhancement of the retrobulbar portion of the left optic nerve. The lesion demonstrated low T1 and intermediate T2 intensities and heterogeneous contrast enhancement and measured 17...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27625962/fibrolipoma-on-upper-eyelid-in-child
#13
Rafael Corredor-Osorio, Nelly Ramos-Pineda, María Eugenia Orellana
An 18-months-old male infant presented with a rapidly growing tumor on the right upper eyelid. Orbital computed tomography (CT) revealed a large, well-circumscribed mass with low density signal in the right upper eyelid. Magnetic resonance images (MRI) showed a lesion of mixed T1-signal intensity and high signal intensity in T2-weighted images. The tumor was treated by simple anterior orbitotomy with excisional biopsy, and the diagnosis of fibrolipoma was made by histopathologic examination. There was no evidence of tumor at the four-year follow-up...
2016: GMS Ophthalmology Cases
https://www.readbyqxmd.com/read/27614437/surgical-anatomy-of-the-cavernous-sinus-superior-orbital-fissure-and-orbital-apex-via-a-lateral-orbitotomy-approach-a-cadaveric-anatomical-study
#14
Murat Ulutas, Suat Boyacı, Akın Akakın, Türker Kılıç, Kaya Aksoy
BACKGROUND: Tumors of the middle fossa or cavernous sinus (CS), or intraorbital tumors, can penetrate each other through the superior orbital fissure (SOF) or neighboring tissue. These complicated pathologies are often treated with highly invasive surgical procedures. In this article, we demonstrate surgical anatomic dissections of the CS, SOF, orbital apex (OA), and dura mater extending to the periorbita from the middle fossa, by performing an epidural dissection via a lateral orbitotomy approach, and discuss findings that may provide guidance during surgery in these regions...
November 2016: Acta Neurochirurgica
https://www.readbyqxmd.com/read/27591065/airgun-shot-wound-to-the-orbit-with-retention-of-pellet-case-report-and-review-of-the-literature
#15
Paweł Daszkiewicz, Dariusz Dziedzic, Piotr Daszkiewicz
Shot wounds become a growing clinical concern in the civilian setting, due to increasing popularity of air guns among minors. We present a pediatric case of a shot wound to the orbit with sparing of the eyeball and retention of airgun pellet in the retrobulbar space. The pellet was removed 3 months after injury via lateral orbitotomy. Pathophysiology and ballistics of shot wounds are briefly reviewed and current views on the management strategy of shot wounds with retained projectile are discussed.
2016: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/27541944/pleomorphic-adenoma-of-a-deep-orbital-ectopic-lacrimal-gland
#16
Somen Misra, Akshay Bhandari, Neeta Misra, Pratik Gogri, Shruti Mahajan
Ectopic lacrimal gland, being one of the choristomas, is comprised of lacrimal gland tissue outside the lacrimal gland fossa in the fronto-lateral part of the orbital roof. Ectopic lacrimal gland is a rare condition where the gland may be found in the orbit, eyelids, ocular adnexa or within the globe. Neoplastic transformation of such tissue may occur. A sixty-two-year old male patient presented with right eye proptosis and slight nasal displacement of the globe. Computerized tomography scan revealed a well-defined hypodense lesion of size 19 x 18 x 20 mm supero-lateral to lateral rectus muscle, with mild proptosis and thinning of the right lateral orbital wall...
October 2016: Orbit
https://www.readbyqxmd.com/read/27488157/first-case-report-of-isolated-aspergillus-dacryoadenitis
#17
Ishan Acharya, Divya Basa, M Kavitha
We report a case of isolated Aspergillus dacryoadenitis. A 23-year-old male presented with dull ache, diffuse swelling in superolateral quadrant of the right orbit and proptosis for 4 months. Ocular examination showed conjunctival congestion, discharge in the fornix and palpable lacrimal gland (LG) mass. Routine hematological investigations followed by computed tomography scan of orbits were done. He did not respond to a course of systemic and topical antibiotics. Lateral orbitotomy with extended lid crease incision was performed with excision biopsy of LG...
June 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27464561/idiopathic-orbital-inflammatory-pseudotumor-with-bone-erosion
#18
Jianhua Yan
PURPOSE/BACKGROUND: To report a rare patient with idiopathic orbital inflammatory pseudotumor showing obvious bone erosion of the orbital wall. METHODS: Clinical features and imaging findings, orbital surgery, and histopathological examination are presented. RESULTS: A 56-year-old Chinese man showed a gradually growing unilateral proptosis of the left eye for 6 months. Visual acuity, intraocular pressure, anterior segment, and fundi were normal in both eyes...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27464455/neonatal-orbital-abscess-secondary-to-pseudomonas-aeruginosa-conjunctivitis
#19
Bulent Yazici, Nesimi Orucov, Gunay Ibrahimzade
Pseudomonas aeruginosa conjunctivitis, although rare in healthy infants, may cause serious ocular and systemic complications. A 30-day-old, otherwise healthy male infant was referred with the diagnosis of right orbital abscess. The patient had been diagnosed as having Pseudomonas conjunctivitis 9 days previously at the referring center. Despite antibiotic treatment, his ocular findings had worsened and marked proptosis had developed. Other examination findings were ptosis, restriction of eye movements, periorbital erythema, and chemosis...
July 21, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27397963/management-of-a-blinding-orbital-apex-cyst-in-a-14-year-old-girl
#20
Kator Chaha, Dominic Chinda, Mustapha Abubakar Waziri, Emmanuel Raphael Abah
This study was conducted to highlight the diagnostic and management challenges of orbital apex lesions. It is a retrospective report of a 14-year-old female who presented with no perception of light vision in her left eye following a 1-year history of left unilateral axial proptosis. Her computed tomography scan revealed a mass surrounding the optic nerve which was reported to be an optic nerve glioma. She had lateral orbitotomy and a cystic mass was dissected and excised. Systemic steroids and antibiotics were administered...
May 2016: Nigerian Medical Journal: Journal of the Nigeria Medical Association
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