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6 results

  • Cerebrospinal fluid rhinorrhoea as a complication of endoscopic endonasal reduction of blowout fractures

  • D-G Lee, K-S Cho, H-J Kim, H-J Roh
  • Journal:
    The Journal of Laryngology & Otology / Volume 126 / Issue 9 / September 2012
    Published online by Cambridge University Press:
    12 July 2012, pp. 942-945
    Print publication:
    September 2012
  • Background:

    Unless the orbital contents are supported, the insertion of nasal packing material during endoscopic endonasal surgery may cause serious intracranial complications such as cerebrospinal fluid leakage.

    Methods:

    Case report and literature review.

    Results:

    We report a patient with iatrogenic cerebrospinal fluid rhinorrhoea caused by intracranial entry of a Silastic sheet inserted into the nasal cavity. This skull defect and the surrounding skull base were successfully reconstructed in a multilayer fashion via an endoscopic endonasal approach.

    Conclusion:

    This case highlights the need for caution when inserting nasal packing material. During endoscopic endonasal reduction of blowout fractures, great care must be taken to support the orbital contents, in order to avoid serious intracranial complications such as cerebrospinal fluid leakage.

  • Tension pneumo-orbit treated by endoscopic, endonasal decompression: case report and literature review

  • L Al-Shammari, A Majithia, A Adams, P Chatrath
  • Journal:
    The Journal of Laryngology & Otology / Volume 122 / Issue 3 / March 2008
    Published online by Cambridge University Press:
    11 February 2008, e8
    Print publication:
    March 2008
  • Objective:

    We present a 38-year-old man with a tension pneumo-orbit following medial orbital wall fracture, managed with endoscopic decompression.

    Method:

    A case report and a review of the world literature concerning the aetiology, clinical features and management of medial orbital wall fractures are presented.

    Results:

    Our patient presented with a post-traumatic tension pneumo-orbit exacerbated by air travel and nose-blowing. Computed tomography revealed a fracture of the ethmoid bone, and intra-orbital emphysema causing proptosis. Management with endoscopic, endonasal surgery produced excellent results, with decompression achieved and immediate and sustained improvement in visual acuity.

    Conclusion:

    A search of the world literature revealed no documented cases of tension pneumo-orbit as a complication of medial orbital wall fracture. Endoscopic sinus surgery is currently used in the management of nasal and sinus diseases and their orbital complications. We discuss this extended indication of endoscopic surgery, and its advantages over other surgical approaches.

  • Post-traumatic cutaneous meningioma

  • Pepijn A. Borggreven, Floris H. de Graaf, Paul van der Valk, C. René Leemans
  • Journal:
    The Journal of Laryngology & Otology / Volume 118 / Issue 3 / March 2004
    Published online by Cambridge University Press:
    08 March 2006, pp. 228-230
    Print publication:
    March 2004

  • Cutaneous meningiomas are extremely rare tumours and their diagnosis is difficult. We describe the case of a patient who developed a paranasal swelling after head trauma and associated fractures in the same region years before. Histopathological examination of an incisional biopsy revealed the diagnosis of cutaneous meningioma. After one and a half years’ follow up, surgical excision was performed because of progressive growth of the tumour and associated aesthetic problems. Extracranial meningiomas can develop probably secondary to trapping of meningeal tissue after trauma. If there is no intracranial connection surgical removal can be considered.

  • A wooden orbital foreign body

  • V. Rajah
  • Journal:
    The Journal of Laryngology & Otology / Volume 107 / Issue 8 / August 1993
    Published online by Cambridge University Press:
    29 June 2007, pp. 735-736
    Print publication:
    August 1993

  • A case is reported in which a patient presented, 18 months after initial injury, with a progressive proptosis of the left eye. X-rays did not reveal a foreign body but a fracture of the lateral orbital wall and an area of soft tissue density were seen on the CT scan. Exploration of the orbit revealed a 2 cm wooden fragment in the floor of the orbit.