Ethmoid silent sinus syndrome causing inward displacement of the orbit: case report

AbstractObjective:We describe a previously unreported case of ethmoid silent sinus syndrome.Method:Case report and review of the world literature regarding silent sinus syndrome.Results:A 33-year-old woman developed medial displacement of the left orbital contents in the absence of trauma, surgery or other significant pathology. Imaging showed opacification of the left ethmoid sinus and implosion of the medial orbital wall. Previously reported cases of silent sinus syndrome have all involved the maxillary sinus, with subsequent implosion of the orbital floor. Computed tomography scans of our patient showed wide, flat ethmoidal bulla and surrounding cells, with few horizontal bony septae reinforcing the area of collapse.Conclusion:This case represents the first report of ethmoid silent sinus syndrome. We argue that, in anatomically susceptible individuals, the silent sinus syndrome can present due to chronic ethmoidal sinusitis.

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

The Journal of Laryngology & Otology ◽

10.1017/s002221510700165x ◽

2008 ◽

Vol 122 (3) ◽

Cited By ~ 12

Author(s):

L Al-Shammari ◽

A Majithia ◽

A Adams ◽

P Chatrath

Keyword(s):

Case Report ◽

World Literature ◽

Sinus Surgery ◽

Surgical Approaches ◽

Endoscopic Endonasal ◽

Orbital Emphysema ◽

Orbital Wall ◽

The World ◽

Medial Orbital Wall ◽

Orbital Complications

AbstractObjective: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.

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Ethnic variation in medial orbital wall anatomy and its implications for decompression surgery

BMC Ophthalmology ◽

10.1186/s12886-021-02009-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Minhui Amy Chan ◽

Farah Ibrahim ◽

Arjunan Kumaran ◽

Kailing Yong ◽

Anita Sook Yee Chan ◽

...

Keyword(s):

Relative Position ◽

Ethmoid Sinus ◽

Decompression Surgery ◽

Ethnic Variation ◽

Sinus Wall ◽

Orbital Wall ◽

Mean Width ◽

Significant Difference ◽

The Mean ◽

Medial Orbital Wall

Abstract Background To describe the inter-ethnic variation in medial orbital wall anatomy between Chinese, Malay, Indian and Caucasian subjects. Methods Single-centre, retrospective, Computed Tomography (CT)-based observational study. 20 subjects of each ethnicity, were matched for gender and laterality. We excluded subjects younger than 16 years and those with orbital pathology. OsiriX version 8.5.1 (Pixmeo., Switzerland) and DICOM image viewing software CARESTREAM Vue PACS (Carestream Health Inc., USA) were used to measure the ethmoidal sinus length, width and volume, medial orbital wall and floor angle and the relative position of the posterior ethmoid sinus to the posterior maxillary wall. Statistical analyses were performed using Statistical Package for Social Sciences version 25.0 (IBM, USA). Results There were 12 males (60 %) in each group, with no significant difference in age (p = 0.334–0.994). The mean ethmoid sinus length in Chinese, Malay, Indian and Caucasian subjects, using the Chinese as reference, were 37.2, 36.9, 38.0 and 37.4mm, the mean width was 11.6, 10.5, 11.4 and 10.0mm (p = 0.020) and the mean ethmoid sinus volume were 3362, 3652, 3349 and 3898mm3 respectively. The mean medial orbital wall and floor angle was 135.0, 131.4, 131.0 and 136.8 degrees and the mean relative position of posterior ethmoid sinus to posterior maxillary wall were − 2.0, -0.2, -1.5 and 1.6mm (p = 0.003) respectively. Conclusions No inter-ethnic variation was found in decompressible ethmoid sinus volume. Caucasians had their posterior maxillary sinus wall anterior to their posterior ethmoidal walls unlike the Chinese, Malay and Indians. Awareness of ethnic variation is essential for safe orbital decompression.

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Frontonasal and Craniofrontonasal Dysplasia: Preoperative Quantitative Description of the Cranio-Orbito-Zygomatic Region Based on Computed and Conventional Tomography

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_1994_031_0097_facdpq_2.3.co_2 ◽

1994 ◽

Vol 31 (2) ◽

pp. 97-105 ◽

Cited By ~ 5

Author(s):

Stephanie M Moffat ◽

Jeffrey C. Posnick ◽

Gaylene E. Pron ◽

Derek C. Armstrong

Keyword(s):

Computed Tomography ◽

Clinical Presentation ◽

Matched Control ◽

Quantitative Description ◽

Frontonasal Dysplasia ◽

Orbital Wall ◽

Computed Tomography Scans ◽

Conventional Tomography ◽

The Mean ◽

Medial Orbital Wall

The unoperated cranio-orbito-zygomatic complex of 18 children (mean 4.7 years) with frontonasal dysplasia (FND) and 12 children (mean 1.1 years) with craniofrontonasal dysplasia (CFND) was quantified by 15 standard measurements performed on either computed tomography scans or facial tomograms. The results were compared with age-matched control values. In the FND group, the mean anterior interorbital and mid-interorbital distances were significantly increased at 148% and 118% of normal, and in the CFND patients, at 177% and 140% of normal. Excessive medial orbital wall protrusion (mean, 145% of normal in FND and 177% in CFND), shortened zygomatic arch lengths (mean, 94% of normal In FND and 91% in CFND), and reduced cephalic lengths (mean, 96% of normal in FND and 83% in CFND) were all observed. An expanded interzygomatic buttress distance was documented only in the CFND group, at 111% of normal. The clinical presentation of craniofacial deformities such as FND and CFND can be objectively described by a numerical analysis of the bony pathology.

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Endoscopic Orbital Decompression of an Isolated Medial Orbital Wall Fracture: A Case Report

Ear Nose & Throat Journal ◽

10.1177/014556131109001216 ◽

2011 ◽

Vol 90 (12) ◽

pp. E32-E35

Author(s):

Erdogan Gultekin ◽

Zafer Ciftci ◽

Omer N. Develioglu ◽

Oner Celik ◽

Murat Yener ◽

...

Keyword(s):

Case Report ◽

Orbital Decompression ◽

Orbital Wall ◽

Medial Orbital Wall

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Bone grafting for enophthalmos due to a medial orbital wall fracture: case report with 13 year follow-up

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/s1010-5182(99)80047-x ◽

1999 ◽

Vol 27 (3) ◽

pp. 177-179 ◽

Cited By ~ 6

Author(s):

Karel G.H. van der Wal ◽

Jan G.A.M. de Visscher

Keyword(s):

Case Report ◽

Bone Grafting ◽

Orbital Wall ◽

Medial Orbital Wall

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Endoscopic Endonasal Approach of Orbital Medial Wall Reconstruction using Septal Cartilage: A Rare Surgical Case Report

Clinical Rhinology An International Journal ◽

10.5005/jp-journals-10013-1226 ◽

2015 ◽

Vol 8 (1) ◽

pp. 30-33

Author(s):

MK Rajasekar ◽

M Vivek ◽

V Narendrakumar

Keyword(s):

Computed Tomography ◽

Case Report ◽

Septal Cartilage ◽

Medial Wall ◽

Endoscopic Endonasal Approach ◽

Endonasal Approach ◽

Endoscopic Endonasal ◽

Surgical Case ◽

Orbital Wall ◽

Medial Orbital Wall

ABSTRACT Orbital fractures can cause facial disfigurement and disturbs vision. Medial orbital wall fractures are diagnosed with frequent use of computed tomography (CT) scans in the diagnosis of orbital trauma. Orbital reconstruction plays a challenging role for the surgeons as it comes in a multitude of different forms. We report a case of 45-year male with a history of assault presented with diminution of vision, restricted abduction and diplopia of the left eye. Computed tomography scan showed fracture of the left medial orbital wall fracture and the patient was treated by endoscopic endonasal approach of medial orbital wall reconstruction using septal cartilage. How to cite this article Rajasekar MK, Vivek M, Narendrakumar V. Endoscopic Endonasal Approach of Orbital Medial Wall Reconstruction using Septal Cartilage: A Rare Surgical Case Report. Clin Rhinol An Int J 2015;8(1):30-33.

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