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  Contents > Previous page > Article detail print Order
o Issue N# 3 - 2011 o

RHINOLOGY

Exophthalmos arising from paranasal sinuses


Authors : Benmansour N, Hajij A, Ridal M, Zaki Z, Oudidi A, Elalami MN. (Fès)

Ref. : Rev Laryngol Otol Rhinol. 2011;132,2:143-146.

Article published in french
Downloadable PDF document french



Summary : Introduction: Proptosis due to intraorbital process is frequent and secondary to various aetiologies. Its findings in ENT practice is the sign of a serious complication. The purpose of this study is to review a series of patients who presented an exophtalmy. Material and methods: We conduc­ted a retrospec­tive analysis of 15 patients with exophthal­mos compli­cating a rhinosinusal benign disease, diagnosed and treated in our department between January 2003 and December 2010. As their management is different, we excluded all cases of orbital cellulitis. Results: Average age of presentation was 38 years, without sex predominance. Exophthalmos was uni­lateral, non axial and irreductible in all cases. The average duration of symptoms installation was 18 months. The most common aetiology was fronto-ethmoidal osteomas (9 cases), followed by fronto-ethmoidal mucoceles (5 cases) and spheno-orbito-frontal fibrous dysplasia (1 case). The functional progno­sis of the affected eye depended on the aetiology and the degree of ocular injury. Conclusion: In our experience, sinusal causes of exophthalmos comprise osteomas and ethmoidal mucoceles. Medical history, clinical and radiological data as provide the diagnostic. In case of benign tumours, surgery is the curative treatment.

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