Removal of a Cavernous Hemangioma in the Orbital Apex via the Endoscopic Transnasal Approach: A Case Report

AbstractIntroduction:Verrucous carcinoma is a variant of well differentiated squamous cell carcinoma characterised by an exophytic, warty growth which is slowly but locally invasive and which can cause extensive local destruction if left untreated.Case report:We report the first known case of veruccous carcinoma of the paranasal sinuses with rapid orbital invasion. A 58-year-old man presented with right-sided nasal obstruction, a huge right intranasal lesion, intractable dacryocystitis and cutaneous involvement of the nasolacrimal sac region. The tumour was partially removed using an endoscopic transnasal approach. Post-operatively, and while waiting for the histological result, the patient developed signs of rapid invasion of the orbit, with uniocular visual acuity deficit. He underwent combined radiochemotherapy, with a moderate response.Conclusion:Knowledge of the potentially aggressive nature of verrucous carcinoma may be helpful in early management of intraorbital invasion and salvaging of the eye.

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Combined external and endoscopic transnasal approach with use of a diamond burr in the removal of a fishing harpoon hook traversing bilateral sphenoid sinuses in a 22-year-old man

BMJ Case Reports ◽

10.1136/bcr-2020-239055 ◽

2021 ◽

Vol 14 (5) ◽

pp. e239055

Author(s):

Jan Alexeis Lacuata ◽

Agnes Tirona - Remulla ◽

Arsenio Claro Cabungcal ◽

Romiena Mae Santos

Keyword(s):

Visual Acuity ◽

Sphenoid Sinus ◽

Oral Antibiotics ◽

Orbital Apex ◽

Transnasal Approach ◽

Endoscopic Transnasal Approach ◽

Diamond Burr ◽

The Right ◽

Sphenoid Sinuses

A 22-year old construction worker was shot with a fishing harpoon gun on the left side of his face. He consulted at the emergency room 12 days postinjury, stable but with blurring of vision on the right. The shaft of the harpoon was protruding at the left preauricular area; the tip was neither visible nor palpable. Craniofacial CT scan and skull anteroposterolateral radiographs revealed the tip of the harpoon to be at the right orbital apex. A hook attached 1 cm from the tip was lodged in the sphenoid sinus. The hook was dismantled from the shaft via a combined external and endoscopic transnasal approach, enabling the shaft to be gently pulled. The hook, together with the tip, were removed endoscopically. The patient’s visual acuity improved. He was discharged after 2 days on oral antibiotics with no deficits on follow-up.

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Endoscopic transnasal approach to medial orbital lesions

The Journal of Laryngology & Otology ◽

10.1017/s0022215115001838 ◽

2015 ◽

Vol 129 (9) ◽

pp. 928-931 ◽

Cited By ~ 5

Author(s):

S H Tan ◽

N Prepageran

Keyword(s):

Visual Acuity ◽

Case Report ◽

Minimally Invasive ◽

Case Series ◽

Invasive Technique ◽

Transnasal Approach ◽

Stable Vision ◽

Endoscopic Transnasal Approach ◽

Orbital Lesions ◽

Orbital Tumours

AbstractObjective:This case report presents our experience of endoscopic transnasal management of medial intra- and extraconal lesions.Case report:An endoscopic transnasal approach to intra-orbital lesions was used for nine patients. Four patients had intraconal lesions and five had lesions in the extraconal space. Post-operatively, seven patients reported an improvement in visual acuity and two reported stable vision. There were no complications of cerebrospinal leakage or diplopia.Conclusion:This case series demonstrated the safety and effectiveness of an endoscopic transnasal approach to managing intraconal and extraconal lesions. This minimally invasive technique should be considered a valid alternative for accessing orbital tumours, particularly those located in the medial compartment.

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Congenital Bilateral Choanal Atresia with Duodenal Atresia and Lagophthalmos

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1177 ◽

2014 ◽

Vol 6 (3) ◽

pp. 137-139

Author(s):

Suryakanta Pradhan

Keyword(s):

Case Report ◽

Choanal Atresia ◽

Duodenal Atresia ◽

Premature Baby ◽

Transnasal Approach ◽

Endoscopic Transnasal Approach ◽

Systemic Examination

ABSTRACT Bilateral choanal atresia is an uncommon congenital malfor mation and its association with duodenal atresia and lagophthalmos is very rare. It is a lifethreatening condition where immediate intervention is always needed. A systemic examination is required to find its association with other anomalies. Though different approaches for its treatment are described endoscopic transnasal approach is the most acceptable less traumatic approach till date. We are having a case report of a premature baby with choanal and duodenal atresia with lagophthalmos and was managed successfully with endoscopic transnasal approach. How to cite this article Gupta S, Pradhan S. Congenital Bilateral Choanal Atresia with Duodenal Atresia and Lagophthalmos. Int J Otorhinolaryngol Clin 2014;6(3):137139.

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Endoscopic Transnasal Approach for Resection of a Recurring Anterior Skull Base Aneurysmal Bone Cyst: A Case Report and Review of the Literature

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0033-1336276 ◽

2013 ◽

Vol 74 (S 01) ◽

Author(s):

Sandra Ho ◽

Tyler Kenning ◽

James Evans

Keyword(s):

Case Report ◽

Skull Base ◽

Aneurysmal Bone Cyst ◽

Bone Cyst ◽

Anterior Skull Base ◽

Review Of The Literature ◽

Transnasal Approach ◽

Endoscopic Transnasal Approach

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Retrospective Case Analysis of Transnasal Endoscopic Resection of Benign Orbital Apex Tumors: Some Thoughts on Transnasal Endoscopic Surgery

Journal of Ophthalmology ◽

10.1155/2021/6691203 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Cheng Li ◽

Yang Gao ◽

Rongxin Chen ◽

Chao Cheng ◽

Pan Yin ◽

...

Keyword(s):

Endoscopic Surgery ◽

Surgical Techniques ◽

Field Testing ◽

Benign Tumors ◽

Orbital Apex ◽

Retrospective Case ◽

Transnasal Approach ◽

Transnasal Surgery ◽

Endoscopic Transnasal Approach ◽

The Right

Purpose. To deeply discuss the patient selection, surgical planning, surgical techniques, and the therapeutic challenge for endoscopic transnasal resection of benign orbital apex tumors (OATs). Methods. We retrospectively analyzed the cases of 18 patients (18 eyes) with orbital apex cavernous hemangioma (OACH) who underwent endoscopic transnasal approach for resection of the tumor in Zhongshan Ophthalmic Center from March 2016 to May 2020. At each follow-up visit, the patients underwent measurement of their best-corrected visual acuity (BCVA), slit-lamp examination, indirect ophthalmoscopy, and visual field testing. Results. There were 18 patients, 7 males and 11 females, with a mean age of 49.9 ± 12.6 years (range: 26 to 70 years). All 18 patients had unilateral tumors. Among the 18 cases, 13 were located in the right orbit and 5 were located in the left orbit. Sixteen patients underwent purely endoscopic transnasal surgery, and the other 2 patients underwent an endoscopic transnasal approach combined with a transcutaneous or transconjunctival surgical approach. Fourteen patients’ OACHs were removed completely, 1 patient’s OACH was partly removed, and 3 patients underwent pure decompression of the optic nerve. Fourteen patients gained improved or stable BCVA after surgery. Three patients showed postoperative vision decline, and 1 patient had no light perception after surgery. Conclusions. Endoscopic surgery is an effective surgical technique for the treatment of benign tumors in the orbital apex. It is necessary to strictly select patients and fully evaluate the benefits and risks of tumor completely or partly removed.

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