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Ethmoidal osteoma with intraorbital extension: excision through a transcutaneous paranasal incision.
Acta Ophthalmol Scand. 2005 Jun; 83(3):392-4.AO

Abstract

PURPOSE

To describe a case of conjunctival hyperaemia and proptosis of the right eye.

METHODS

Three-dimensional computed tomography (CT) was performed to reveal the size and position of a lesion of osseous density extending into the right orbit. The lesion was then excised using a right paranasal transcutaneous approach.

RESULTS

The pathology report suggested ethmoidal osteoma. The postoperative course was uncomplicated and the lesion did not recur during a 5-year follow-up period. Repeated postoperative ophthalmic examinations revealed preservation of visual acuity and visual fields postoperatively.

DISCUSSION

Diagnosis is based on imaging studies, especially CT and three-dimensional CT scans. A three-dimensional CT scan is critical in understanding the actual dimensions of the tumour and its relations with other structures. Surgical removal is indicated in cases with orbital matrix compression and displacement. A transcutaneous paranasal approach allows for increased exposure of affected structures.

Authors+Show Affiliations

Department of Ear, Nose and Throat Diseases, University Hospital of Alexandroupolis, Thrace, Greece.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15948797

Citation

Karapantzos, Ilias, et al. "Ethmoidal Osteoma With Intraorbital Extension: Excision Through a Transcutaneous Paranasal Incision." Acta Ophthalmologica Scandinavica, vol. 83, no. 3, 2005, pp. 392-4.
Karapantzos I, Detorakis ET, Drakonaki EE, et al. Ethmoidal osteoma with intraorbital extension: excision through a transcutaneous paranasal incision. Acta Ophthalmol Scand. 2005;83(3):392-4.
Karapantzos, I., Detorakis, E. T., Drakonaki, E. E., Ganasouli, D. L., Danielides, V., & Kozobolis, V. P. (2005). Ethmoidal osteoma with intraorbital extension: excision through a transcutaneous paranasal incision. Acta Ophthalmologica Scandinavica, 83(3), 392-4.
Karapantzos I, et al. Ethmoidal Osteoma With Intraorbital Extension: Excision Through a Transcutaneous Paranasal Incision. Acta Ophthalmol Scand. 2005;83(3):392-4. PubMed PMID: 15948797.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ethmoidal osteoma with intraorbital extension: excision through a transcutaneous paranasal incision. AU - Karapantzos,Ilias, AU - Detorakis,Efstathios T, AU - Drakonaki,Eleni E, AU - Ganasouli,Dimitra L, AU - Danielides,Vassilios, AU - Kozobolis,Vassilios P, PY - 2005/6/14/pubmed PY - 2005/7/12/medline PY - 2005/6/14/entrez SP - 392 EP - 4 JF - Acta ophthalmologica Scandinavica JO - Acta Ophthalmol Scand VL - 83 IS - 3 N2 - PURPOSE: To describe a case of conjunctival hyperaemia and proptosis of the right eye. METHODS: Three-dimensional computed tomography (CT) was performed to reveal the size and position of a lesion of osseous density extending into the right orbit. The lesion was then excised using a right paranasal transcutaneous approach. RESULTS: The pathology report suggested ethmoidal osteoma. The postoperative course was uncomplicated and the lesion did not recur during a 5-year follow-up period. Repeated postoperative ophthalmic examinations revealed preservation of visual acuity and visual fields postoperatively. DISCUSSION: Diagnosis is based on imaging studies, especially CT and three-dimensional CT scans. A three-dimensional CT scan is critical in understanding the actual dimensions of the tumour and its relations with other structures. Surgical removal is indicated in cases with orbital matrix compression and displacement. A transcutaneous paranasal approach allows for increased exposure of affected structures. SN - 1395-3907 UR - https://www.unboundmedicine.com/medline/citation/15948797/Ethmoidal_osteoma_with_intraorbital_extension:_excision_through_a_transcutaneous_paranasal_incision_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=1395-3907&date=2005&volume=83&issue=3&spage=392 DB - PRIME DP - Unbound Medicine ER -