scholarly journals Schwannoma of upper eyelid: A rare differential diagnosis of eyelid swellings

2010 ◽  
Vol 43 (02) ◽  
pp. 213-215
Author(s):  
Surendra B. Patil ◽  
Satish M. Kale ◽  
Sumeet Jaiswal ◽  
Nishant Khare
Keyword(s):  
Differential Diagnosis ◽  
Lower Eyelid ◽  
Lateral Part ◽  
Upper Eyelid ◽  
Eyelid Skin ◽  
Rare Differential Diagnosis ◽  
History Of ◽  
Upper Lid ◽  
Painless Mass ◽  
Rare Benign Tumour

ABSTRACTSchwannoma is a relatively rare benign tumour of peripheral nerve origin. The occurrence of Schwannoma in eyelid is extremely rare. As per our knowledge, only 11 such cases have been reported in the literature so far. We present a case of a 40-year-old man who presented to us with a 2-year history of slowly enlarging, painless mass in his left upper lid with resultant progressive ptosis. Ocular examination was suggestive of a firm, non-tender nodule of size 2 × 1.5 × 1 cm on the left upper lid. The mass was non-adherent to the skin or the underlying tissue. The eyelid skin and conjunctiva were indurated and signs of inflammation were present. The lateral part of eyelid showed presence of an ulcer and the lid function was severely hampered. Provisional clinical diagnosis was that of an eyelid malignancy. With this in mind, the medial part of the lid was excised and reconstructed using a tarso-conjunctival flap from the lower eyelid in conjunction with a skin graft. The histopathology and immunohistochemistry established the diagnosis of Schwannoma. We recommend that Schwannoma be considered in the differential diagnosis of well-circumscribed eyelid swellings.

Surgical Management of the Paralyzed Eyelid

1993 ◽  
Vol 72 (10) ◽  
pp. 692-701 ◽  
Author(s):  
Monte S. Keen ◽  
John D. Burgoyne ◽  
Scott L. Kay
Keyword(s):  
Critical Analysis ◽  
Lower Eyelid ◽  
Facial Nerve Paralysis ◽  
Upper Eyelid ◽  
Nerve Paralysis ◽  
Eyelid Closure ◽  
Corneal Abrasion ◽  
Tarsal Plate ◽  
Analysis Of Results ◽  
Upper Lid

The most devastating sequelae of the facial nerve paralysis is the loss of eye lid function. The inability to blink, lubricate and protect the globe can lead to exposure keratitis, corneal abrasion and even the loss of vision. Eyelid closure is approximately 85% upper eyelid and 15% lower eyelid. In order to ensure adequate protection of the globe, deficiencies of both eyelids must be addressed. We report our experience with 20 patients with eyelid paralysis. Upper lid reanimation was performed by the placement of gold lid weights on the tarsal plate. Lower lid reanimation procedures included lateral canthopexy and horizontal lid shortening. A discussion of the above-mentioned procedures, the timing of the procedures and a critical analysis of results will be included. A comprehensive approach to the management of the paralyzed eye will be presented.

scholarly journals Schwannoma of upper eyelid: A rare differential diagnosis of eyelid swellings

2010 ◽  
Vol 43 (2) ◽  
pp. 213 ◽  
Author(s):  
Sumeet Jaiswal ◽  
Nishant Khare ◽  
SurendraB Patil ◽  
SatishM Kale
Keyword(s):  
Differential Diagnosis ◽  
Upper Eyelid ◽  
Rare Differential Diagnosis

scholarly journals Primary renal MALToma: A rare differential diagnosis for a recurrent renal mass after primary ablative therapy

2014 ◽  
Vol 8 (5-6) ◽  
pp. 442 ◽  
Author(s):  
Francesca Vedovo ◽  
Nicola Pavan ◽  
Giovanni Liguori ◽  
Salvatore Siracusano ◽  
Rossana Bussani ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Lymphoid Tissue ◽  
Renal Mass ◽  
Ablative Therapy ◽  
Percutaneous Cryoablation ◽  
Renal Lymphoma ◽  
Rare Differential Diagnosis ◽  
History Of ◽  
Previously Treated

We report a case of primary renal lymphoma of mucosa-associated lymphoid tissue in an 82-year-old woman. She presented with a history of renal mass previously treated with kidney percutaneous cryoablation at another centre.

scholarly journals Orbital foreign body- Study of a case series

2015 ◽  
Vol 7 (1) ◽  
pp. 60-64
Author(s):  
S Dasgupta ◽  
V Vats ◽  
K S Mittal
Keyword(s):  
Traffic Accident ◽  
Road Traffic ◽  
Case Series ◽  
Lower Eyelid ◽  
Orbital Trauma ◽  
Orbital Cavity ◽  
Upper Eyelid ◽  
Surgical Exploration ◽  
First Case ◽  
History Of

Background: Orbital foreign bodies (OFBs) may remain in the orbital cavity for considerable time and manifest with secondary complications.Objective: To report five consecutive cases of orbital trauma with OFBs, who presented at our institute from Jan 2010 to Dec 2013. Cases: The first case of our series with a non-specific history of injury had a chronic granulomatous discharging sinus in the left upper eyelid and an intact globe. The second case, with an injury to the left lower eyelid following an assault, presented late and the manifestations were similar to that of the first case. The third case, of a road traffic accident, had sustained multiple facial and periocular injuries. The nature of all of three OFBs was uncertain by CT- scan, till surgical exploration. The fourth case had sustained injury to his left eye by a flying metal object. X-ray was sufficient to detect the OFB, but as scleral penetration was associated, management was complex. The fifth case had a nonspecific history of injury and the manifestation was similar to that of the first case. The surgical exploration revealed multiple OFB (wood). Conclusion: The OFBs pose difficult diagnostic and therapeutic challenges. Management of such cases, at times, calls for innovation in decision making and formulation of strategies.

scholarly journals Trichilemmal Cyst of the Eyelid: Masquerading as Recurrent Chalazion

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Manju Meena ◽  
Ruchi Mittal ◽  
Debarati Saha
Keyword(s):  
Differential Diagnosis ◽  
Postoperative Period ◽  
Rare Case ◽  
Excisional Biopsy ◽  
Lower Eyelid ◽  
Wide Excision ◽  
Histopathological Findings ◽  
Trichilemmal Cyst ◽  
History Of ◽  
One Year

A 52-years-old female presented with a history of a painless, progressive swelling in the left lower eyelid of one-year duration. The lesion was excised twice as a chalazion and recurred. Excisional biopsy of the mass was performed and histopathological findings were consistent with those of trichilemmal cyst. We report a rare case of trichilemmal cyst of the eyelid which was masquerading as chalazion for which the patient had undergone multiple surgeries. Wide excision was done and diagnosis was confirmed on histopathology. There was no recurrence seen till 2 months of postoperative period. Trichilemmal cyst, although rare, should be considered as differential diagnosis of recurrent chalazion.

A Modified Cutler-Beard Technique to manage Extensive Sebaceous Gland Carcinoma of Upper Eyelid

2016 ◽  
Vol 1 (4) ◽  
pp. 188-190
Author(s):  
Etti Goyal ◽  
Y Rizvi ◽  
Pranav Gupta
Keyword(s):  
Sebaceous Gland ◽  
The Elderly ◽  
Lower Eyelid ◽  
Sebaceous Gland Carcinoma ◽  
Upper Eyelid ◽  
Ear Cartilage ◽  
Upper Lid ◽  
Lid Reconstruction ◽  
Gland Carcinoma ◽  
Contralateral Eye

ABSTRACT Introduction Sebaceous gland carcinoma (SGC) is a rare tumor affecting the elderly, with a predisposition for females arising from the meibomian glands and occurring more commonly on the upper eyelid. Diagnosis is difficult because the tumor mimics chalazion or blepharitis. Sebaceous gland carcinoma has a mortality rate of about 5 to 10%. Aim To present a modified Cutler-Beard technique of lid reconstruction to manage a case of extensive SGC of upper lid. Materials and methods A 65-year-old male presented with a rapidly growing extensive mass of right upper eyelid (size 4.2 × 4 × 2.1 cm) causing mechanical ptosis. Histopathology confirmed the diagnosis as SGC. Wide excision of the lesion was performed sacrificing the whole upper eyelid. Lid reconstruction was done employing lower eyelid as per the bridged flap technique with the use of 4 mm silicon band to enhance lid stability. Patient achieved a satisfactory functional and cosmetic result following the second stage of the procedure. Conclusion Total loss of upper eyelid is often dealt with classical lid sharing technique of reconstruction first described by Cutler-Beard. For lid stability, use of tarsus from contralateral eye, ear cartilage has their attendant problems. A 4.0 silicon band was used to replace the sacrificed tarsus, achieving good results. How to cite this article Gupta P, Rizvi Y, Goyal E. A Modified Cutler-Beard Technique to manage Extensive Sebaceous Gland Carcinoma of Upper Eyelid. Int J Adv Integ Med Sci 2016;1(4):188-190.

Outcomes after surgical resection of lower eyelid tumors and reconstruction using a septal chondromucosal graft and an upper eyelid skin flap

2016 ◽  
Vol 94 ◽  
Author(s):  
S. Lemaitre ◽  
C. Levy-Gabriel ◽  
B. Couturaud ◽  
S. Gardrat ◽  
N. Cassoux ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Skin Flap ◽  
Lower Eyelid ◽  
Upper Eyelid ◽  
Eyelid Tumors ◽  
Eyelid Skin

A New Paradigm of Surgical Management of the Atonic Face

2005 ◽  
Vol 22 (2) ◽  
pp. 99-104
Author(s):  
Robert M. Schwarcz ◽  
Robert A. Goldberg ◽  
Norman Shorr
Keyword(s):  
Facial Paralysis ◽  
Lower Eyelid ◽  
Rational Approach ◽  
Nasolabial Fold ◽  
New Paradigm ◽  
Upper Eyelid ◽  
Lower Face ◽  
Eyelid Skin ◽  
Improvement Effect ◽  
Gold Weight

Introduction: Consequences of facial paralysis are functionally and cosmetically debilitating. Surgical facial suspension in patients with facial nerve palsy is characterized by inexorable recurrent descent of the atonic tissues. Despite numerous variations on techniques that have been attempted over the years, including muscle and fascia flaps, deep plane or periosteal dissection, and multiple vector fixation, we have been disappointed to note substantial or complete loss of improvement effect over 1–2 years. This experience has allowed us to reassess the basic philosophy of rehabilitation for patients with facial paralysis. If the most robust and invasive surgeries are not adequately permanent to avoid the need for frequent reoperation, then perhaps a rational approach is to accept and anticipate the need for repeat procedures and use minimally invasive procedures that are designed for maintenance reoperations. Materials and Methods/Results: We report our experience with a layered multivector cable suture suspension technique to address the atonic descent of the eyebrow, eyelid, midface, and lower face in patients with facial palsy. We describe 2 approaches, a Keith needle with either Gortex or a nylon suture passed from nasolabial fold to deep temporalis fascia and a procedure involving multivector cables. To address the ocular complications in the atonic face, we review upper and lower eyelid adjunctive techniques. For facial paralysis, solutions to address ocular issues include placement of gold weight to upper eyelid, skin graft to upper eyelid, midface-lift, and lower eyelid slings. Finally, to address the lateral oral commissure droop, we discuss a localized technique involving upward positioning of the area by removal of an ellipse of tissue down to the level of the orbicularis oris muscle. Discussion: We discuss our experiences in addressing the upper face, midface, and lower face regarding static reanimation surgery of the atonic face with multivector cables and other modalities to provide a systematic approach. Many of these techniques can be used on the cosmetic patient as well.

scholarly journals Tail flap for eyelid reconstruction: An alternative to the Tenzel flap

2021 ◽  
pp. 21-28
Author(s):  
Golam Haider ◽  
Syeed Mehbub UI Kadir ◽  
Mukti Rani Mitra ◽  
Tanjila Hossain
Keyword(s):  
Reconstructive Surgery ◽  
Case Series ◽  
Lower Eyelid ◽  
Treacher Collins Syndrome ◽  
Juvenile Xanthogranuloma ◽  
Upper Eyelid ◽  
Eyelid Reconstruction ◽  
Triangular Flap ◽  
Case Series Study ◽  
Upper Lid

Purpose: To describe a technique of eyelid reconstruction with the tail flap method and also to evaluate the post-surgical outcome in a group of patients. Methods: This was a prospective case series study on nine patients who had undergone an eyelid reconstruction with the tail flap method. The study had been conducted from July 2014 to July 2019. The follow-up continued for six months to one year. Results: A total of nine patients with ten eyelid defects, 2 (22%) patients had unilateral eyelid coloboma, 1 (11%) had lower lid defect associated with Treacher-Collins syndrome,1 (11%)with bilateral upper eyelid coloboma, only one eyelid undergone lid reconstructive surgery associated with craniofacial anomalies,1 (11%) with Juvenile xanthogranuloma of the left upper eyelid,1(11%) with Basal cell carcinoma in the right upper lid, 3(34%) with Meibomian gland carcinoma 2 in lower eyelid and 1 in upper lid undergone lid reconstructive surgery with triangular flap. Among nine patients, a total of ten eyelid defects were repaired with the triangular flap technique, 5 (50%) in the upper eyelid and 5 (50%) in the lower eyelid. The eyelid defects were completely repaired with tail flap in all patients. All patients were evaluated preoperatively and postoperatively. The cosmetic outcomes of surgical intervention were excellent in 5(50%) cases, good in 3(30%) cases, fair enough in 2(20%) cases. Conclusions: Tail flap is an alternative surgical method to the well-established Tenzel flap in eyelid reconstruction. Keywords: Tail Flap; Tenzel Flap; Eyelid Defect; Lid reconstruction

scholarly journals Non-functioning parathyroid adenoma: a rare differential diagnosis for vocal-cord paralysis

2016 ◽  
Vol 98 (6) ◽  
pp. e94-e96 ◽  
Author(s):  
D Kamali ◽  
A Sharpe ◽  
S Nagarajan ◽  
W Elsaify
Keyword(s):  
Differential Diagnosis ◽  
Parathyroid Adenoma ◽  
Vocal Cord ◽  
Parathyroid Gland ◽  
Vocal Cord Paralysis ◽  
Vocal Cord Palsy ◽  
Rare Differential Diagnosis ◽  
History Of ◽  
Skeletal Bone ◽  
First Time

Introduction Adenomas of the parathyroid gland typically present with symptoms of hyperparathyroidism, manifested by fatigue, bone pain, abdominal pain, weakness, dyspepsia, nephrolithiasis and skeletal bone disease. Here, we describe, for the first time, a case of a non-functioning benign tumour of the parathyroid gland presenting as vocal-cord paralysis. Case History A 49-year-old male presented with a 10-week history of dysphonia and the feeling of having ‘something stuck in my throat’. History-taking elicited no other associated symptoms. Flexible nasal endoscopy demonstrated paralysis of the left vocal cord. Computed tomography of the neck revealed a cystic lesion, 18mm in diameter adjacent to the oesophagus. After more rigorous tests, a neck exploration, left hemithyroidectomy, excision of the left paratracheal mass and level-VI neck dissection was undertaken, without incident to the patient or surgical team. Histology was consistent with a parathyroid adenoma. Conclusions This case emphasises the importance of including adenomatous disease of the parathyroid gland in the differential diagnosis despite normal parathyroid status as a cause of vocal cord palsy.

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