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[Removal of a giant ethmoidal sinus osteoma with orbital extension].
Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Dec 20; 31(24):1932-1934.LC

Abstract

Osteomas are slow growing bony tumors of the nasal sinuses. Ethmoid osteomas with orbital extension are unusual. Any surgical approach has to take into account protection of the vital structures, particularly the optic nerve and internal rectus muscle, skull base. A 65-year-old man, without past medical history, was referred to our hospital with a 1-month history of double vision and persisting pain around the left eye. Three-dimensional computed tomography (CT) revealed a large calcified dense mass measuring 32 mm × 25 mm × 25 mm in the left ethmoidal sinus with orbital extension. An endoscopic endonasal approach combined with inner canthus way was planned. Most of the tumor was removed from nasal cavity, the rest part of the tumor was taken out of the inner canthus incision. The medial wall of the orbital cavity was repaired with titanium mesh. No cerebrospinal fluid (CSF) leakage was observed during the procedure. The patient recovered rapidly and had no visual impairment and occular motility disorders after operation. The double vision was alleviated and disappeared after one months. Treatment of large ethmoid osteomas requires a combined approach to prevent injury to the orbital content. The cooperation of both otolaryngologists and ophthalmologists is necessary to achieve risk-free surgery.

Authors+Show Affiliations

Department of Otorhinolaryngology, Shengjing Hospital of China Medical University.Department of ophthalmology, Shengjing Hospital of China Medical University.Department of Otorhinolaryngology, Shengjing Hospital of China Medical University.Department of Otorhinolaryngology, Shengjing Hospital of China Medical University.Department of Otorhinolaryngology, Shengjing Hospital of China Medical University.Department of Otorhinolaryngology, Shengjing Hospital of China Medical University.Department of Otorhinolaryngology, Shengjing Hospital of China Medical University.

Pub Type(s)

Case Reports
Journal Article

Language

chi

PubMed ID

29798320

Citation

Bai, W L., et al. "[Removal of a Giant Ethmoidal Sinus Osteoma With Orbital Extension]." Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, vol. 31, no. 24, 2017, pp. 1932-1934.
Bai WL, Chai GR, Zhou Q, et al. [Removal of a giant ethmoidal sinus osteoma with orbital extension]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017;31(24):1932-1934.
Bai, W. L., Chai, G. R., Zhou, Q., Li, J. X., Xiang, Q. H., Li, T., & Liu, T. C. (2017). [Removal of a giant ethmoidal sinus osteoma with orbital extension]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, 31(24), 1932-1934. https://doi.org/10.13201/j.issn.1001-1781.2017.24.016
Bai WL, et al. [Removal of a Giant Ethmoidal Sinus Osteoma With Orbital Extension]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Dec 20;31(24):1932-1934. PubMed PMID: 29798320.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Removal of a giant ethmoidal sinus osteoma with orbital extension]. AU - Bai,W L, AU - Chai,G R, AU - Zhou,Q, AU - Li,J X, AU - Xiang,Q H, AU - Li,T, AU - Liu,T C, PY - 2017/05/16/received PY - 2018/5/26/entrez PY - 2018/5/26/pubmed PY - 2018/10/23/medline KW - endoscopic surgical procedures KW - ethmoid sinus KW - osteoma SP - 1932 EP - 1934 JF - Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery JO - Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi VL - 31 IS - 24 N2 - Osteomas are slow growing bony tumors of the nasal sinuses. Ethmoid osteomas with orbital extension are unusual. Any surgical approach has to take into account protection of the vital structures, particularly the optic nerve and internal rectus muscle, skull base. A 65-year-old man, without past medical history, was referred to our hospital with a 1-month history of double vision and persisting pain around the left eye. Three-dimensional computed tomography (CT) revealed a large calcified dense mass measuring 32 mm × 25 mm × 25 mm in the left ethmoidal sinus with orbital extension. An endoscopic endonasal approach combined with inner canthus way was planned. Most of the tumor was removed from nasal cavity, the rest part of the tumor was taken out of the inner canthus incision. The medial wall of the orbital cavity was repaired with titanium mesh. No cerebrospinal fluid (CSF) leakage was observed during the procedure. The patient recovered rapidly and had no visual impairment and occular motility disorders after operation. The double vision was alleviated and disappeared after one months. Treatment of large ethmoid osteomas requires a combined approach to prevent injury to the orbital content. The cooperation of both otolaryngologists and ophthalmologists is necessary to achieve risk-free surgery. SN - 2096-7993 UR - https://www.unboundmedicine.com/medline/citation/29798320/[Removal_of_a_giant_ethmoidal_sinus_osteoma_with_orbital_extension]_ DB - PRIME DP - Unbound Medicine ER -