scholarly journals A Rare Case of Palpebral Cellulitis, a Variation of Pott’s Puffy Tumor

2020 ◽  
Vol 11 (1) ◽  
pp. 106-111
Author(s):  
Marina Yamamoto ◽  
Nozomu Wakayama ◽  
Yuki Hamajima ◽  
Kohei Miyata ◽  
Hiroshi Takahashi ◽  
...  
Keyword(s):  
Frontal Sinus ◽  
Rare Case ◽  
Maxillary Sinusitis ◽  
Skin Incision ◽  
Sinus Surgery ◽  
Inferior Wall ◽  
Upper Eyelid ◽  
Eyelid Skin ◽  
Pott’S Puffy Tumor ◽  
Eyelid Swelling

A rare case of palpebral cellulitis with simultaneous frontal sinusitis and osteomyelitis is reported. A healthy 45-year-old man presented with left upper eyelid swelling. He was given intravenous meropenem at the local hospital, but he failed to improve. Magnetic resonance imaging showed left frontal and maxillary sinusitis and upper palpebral cellulitis with an abscess. His temperature was 37.6°C, C-reactive protein was 1.36 mg/dL, thyroid hormone was elevated, left best-corrected visual activity was 1.2, and intraocular pressure was 25 mm Hg. He was then given cefazolin intravenously for 3 days but with no improvement. Therefore, the eyelid skin was incised. Postoperatively, the swelling improved significantly. Computed tomography demonstrated osteomyelitis of the left frontal sinus and osteolysis of the inferior wall. This case was considered a variation of Pott’s puffy tumor. Bacterial cultures from the cellulitis abscess and sinusitis were negative. As for sinusitis, endoscopic sinusitis surgery (frontal sinus single sinus surgery [Draf III] and Kilian surgery) was performed. During 10 months of follow-up after the skin incision, no signs of recurrent eyelid swelling were observed.

A rare case of posttraumatic eyelid swelling: cerebrospinal fluid blepharocele

2013 ◽  
Vol 11 (3) ◽  
pp. 242-244 ◽  
Author(s):  
Nagesh Chandra ◽  
Bal Krishan Ojha ◽  
Vashdev Chandwani ◽  
Chhitij Srivastava ◽  
Sunil Kumar Singh ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Head Injury ◽  
Rare Case ◽  
Cosmetic Outcome ◽  
Review Of Literature ◽  
Upper Eyelid ◽  
Eyelid Swelling ◽  
Fall From Height

Posttraumatic herniation of brain and CSF into the eyelid, variously termed as blepharocele, blepharoencephalocele, or encephalocele, is not a common entity, with only a few reported cases in the literature. A 4-year-old girl was seen for gradually increasing left upper eyelid swelling after she had sustained a head injury due to a fall from height. A few days later she developed swelling of the upper eyelid. Posttraumatic CSF blepharocele was suspected. The patient underwent surgery with excellent cosmetic outcome. This case is discussed with a review of literature.

scholarly journals A Rare Case of Secondary Cutis Verticis Gyrata on the Forehead

2020 ◽  
Vol 16 (2) ◽  
pp. 113-116
Author(s):  
Joo Sung Jung ◽  
Nam Kyu Lim
Keyword(s):  
Rare Case ◽  
Advancement Flap ◽  
Large Area ◽  
Upper Eyelid ◽  
Cutis Verticis Gyrata ◽  
Eyelid Skin ◽  
Microvascular Proliferation ◽  
Patient Reported ◽  
Nodular Lesions ◽  
Underlying Diseases

Cutis verticis gyrata (CVG) is an unusual morphological condition of the scalp characterized by ridges and furrows resembling the surface of the brain. Most patients have lesions on the scalp, and only a few cases with forehead lesions have been described in literature. We report an extremely rare case of secondary CVG on the forehead. A 61-year-old female patient was referred to our outpatient clinic with a large area of hypertrophic skin on the forehead. A lesion measuring 12×3 cm extended across both eyebrows, the glabella, and the forehead. The patient reported that a pruritic erythematous lesion in that region had occurred 10 years ago after she performed acupuncture on herself on the forehead several times. She had no underlying diseases and no relevant family history. We removed the entire lesion and covered the defect with a forehead advancement flap. This solved the initial aesthetic problem. Her forehead skin became flattened, and the sagging upper eyelid skin was aesthetically corrected. Pathological findings showed nodular lesions with dense collagen fibers and microvascular proliferation, supporting the diagnosis of CVG. We achieved good results through surgical treatment for the extremely rare case of CVG on the forehead.

scholarly journals Radiological findings in a rare case of eyelid swelling: Pott’s puffy tumor.

2012 ◽  
Vol 95 (1) ◽  
pp. 27
Author(s):  
HN Özcan ◽  
S Avcu ◽  
M Lemmerling
Keyword(s):  
Rare Case ◽  
Radiological Findings ◽  
Pott’S Puffy Tumor ◽  
Eyelid Swelling

scholarly journals Complex Intratarsal Cyst with a Mixed Ciliated Respiratory-Type and Squamous Epithelial Lining

2019 ◽  
Vol 6 (3) ◽  
pp. 151-158
Author(s):  
Frederick A. Jakobiec ◽  
Paula Cortes Barrantes ◽  
Lina Ma ◽  
Nahyoung Grace Lee
Keyword(s):  
Epithelial Cell ◽  
Epithelial Cells ◽  
Staining Pattern ◽  
Epithelial Lining ◽  
Full Thickness ◽  
Upper Eyelid ◽  
Eyelid Skin ◽  
Eyelid Swelling

A 55-year-old woman developed a painless, non-ulcerated left upper eyelid swelling over 6 months. Examination disclosed a fluctuant mass that permitted movement of the eyelid skin over the lesion. A full-thickness eyelid resection contained a well-encapsulated cyst with milky contents that was predominantly located in the tarsus. The cyst’s lining was partially composed of segments of ciliated respiratory-type and non-keratinizing squamous epithelia. Immunohistochemical evaluation with cytokeratins 17, 18, and 19 confirmed the staining pattern of a respiratory-type epithelial cell (whether or not cilia were present in the non-squamous epithelial zones). In the squamous region, entirely different cytokeratin results were obtained vis-a-vis the non-squamous regions of the lining. The current lesion is interpreted as congenital and representing an in situ persistence of embryonic ciliated glandular epithelium that normally exists only transitorily. A more remote possibility is that the lesion was the result of ectopic epithelial cells displaced from an adjacent sinus. A recurrence has not developed during 6 months of follow-up.

scholarly journals Odontogenic Sinusitis-Associated Pott’s Puffy Tumor: A Case Report and Literature Review

2020 ◽  
pp. 014556132095220
Author(s):  
Hyun Jin Min ◽  
Kyung Soo Kim
Keyword(s):  
Maxillary Sinusitis ◽  
Previous History ◽  
Sinus Surgery ◽  
Subperiosteal Abscess ◽  
Pott’S Puffy Tumor ◽  
Facial Swelling ◽  
Computed Tomography Scans ◽  
History Of ◽  
Odontogenic Sinusitis ◽  
Clinical Conditions

Pott’s puffy tumor (PPT) is a nonneoplastic complication of acute frontal sinusitis characterized by subperiosteal abscess (SPOA) formation and osteomyelitis. Although various clinical conditions are associated with frontal SPOA, cases associated with odontogenic sinusitis are rare. We report a recurrent case of frontal SPOA who had a previous history of craniotomy due to head trauma. The patient was presented with headache, facial swelling and diagnosed as frontal, ethmoid, and maxillary sinusitis with frontal SPOA, which is PPT. The patient was surgically managed by endoscopic sinus surgery and external drainage of the abscess. Although the symptoms had been relieved soon after the surgery, they were recurred after 1 week. By paranasal sinus computed tomography scans, it was suspected that severe carious teeth, which were missed before surgery, induced maxillary sinusitis which spread into the frontal sinus and subperiosteal areas inducing recurrence of disease. Our experience suggests that frontal SPOA may originate from odontogenic maxillary sinusitis caused by severe dental caries, which should be actively managed, especially in patients with the risk of spread of inflammation, such as those who have discontinuity in frontal bone.

scholarly journals A Case of Pott's Puffy Tumor from Odontogenic Source

2021 ◽  
Author(s):  
Tyler Merrill ◽  
Kyle Davis ◽  
James Reed Gardner ◽  
Alissa Kanaan
Keyword(s):  
Frontal Sinus ◽  
Maxillary Sinusitis ◽  
Frontal Sinusitis ◽  
Pott’S Puffy Tumor

AbstractPott's puffy tumor (PPT) is a known complication of frontal sinusitis. Odontogenic maxillary sinusitis can seldomly spread to involve the frontal sinus but has not been implicated in the development of PPT. Herein, we describe a case of frontal sinusitis originating from an odontogenic source and culminating in PPT.

scholarly journals Boxing Match Gone Awry- A Punch over the Head Leading to Eccentric Proptosis in a Child

2021 ◽  
Author(s):  
Gayathri Nithianandam ◽  
S Prabakaran ◽  
Geeta Anusha Loya ◽  
S Rajasekaran ◽  
Premnath Gnaneswaran
Keyword(s):  
Rare Case ◽  
Mass Effect ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Normal Position ◽  
Upper Eyelid ◽  
Retinal Tear ◽  
Ocular Movements ◽  
Amateur Boxing ◽  
The Right

The most common ocular pathologic conditions in amateur boxing are sub conjunctival haemorrhage, lid injuries, cataract, pupil deformation, angle abnormalities and retinal tear. Proptosis due to frontoethmoidal mucocele in young is one of the least common complications seen in boxers. Here, we discuss a rare case of unilateral eccentric proptosis of right eye in a child after he was punched over the right side of the head during a boxing match. He came with complaints of swelling of upper eyelid. Examination revealed right sided eccentric proptosis with restricted ocular movements and defective vision. Computed Tomography (CT) of orbit showed a well-defined isodense lesion with smooth margins arising from the frontal sinus, extending inferiorly to anterior ethmoidal sinus which caused mass effect over right eye and ocular muscles which resulted in displacement of the eye ball. Otolaryngologist’s opinion was obtained. Functional Endoscopic Sinus Surgery (FESS) was done. Postoperatively vision improved with no proptosis and eyeball returned to its normal position.

scholarly journals Combined Surgical Approach in the Treatment of Oculo-Orbital Complications of Frontal Sinus Mucocele: A Case Report

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Andra Jevtovic ◽  
Branislav Belic ◽  
Jasmina Stojanovic
Keyword(s):  
Surgical Approach ◽  
Endoscopic Sinus Surgery ◽  
Frontal Sinus ◽  
Sinus Surgery ◽  
Upper Eyelid ◽  
Orbital Roof ◽  
Adjacent Structures ◽  
Intracranial Complications ◽  
Orbital Complications ◽  
Anterior Group

Abstract Paranasal sinus mucoceles are benign cystic masses filled with mucous content. Mucoceles are locally destructive, causing pressure on sinus walls with their resorption, allowing them to spread on adjacent structures causing local, orbital or intracranial complications. They are most commonly found in frontal sinuses. The aim of this report is to present case of oculo-orbital complications of frontal sinus mucocele, with focus on treatment using combined surgical approach. A 75-year old female patient with frontal sinus mucocele which led to destruction of orbital roof and occurrence of complications in form of orbital cellulitis and palpebral abscess was successfully treated with a combination of external frontoethmoidectomy and endoscopic sinus surgery. After initial incision of the upper eyelid abscess with drainage of purulent content, modified external frontoethmoidectomy was performed using preformed defect of orbital roof. Finally, using endoscopic sinus surgery, natural drainage of anterior group of paranasal sinuses was achieved. Various endoscopic and open approaches have been described in mucocele treatment. In this case we showed that the combined surgical approach in the treatment of frontal sinus mucoceles with destruction of sinus floor and appearance of oculo-orbital complications, provides an effective treatment and allows natural drainage of anterior group of sinuses.

Combined Lid Crease and Endoscopic Approach to Lateral Frontal Sinus Disease With Orbital Extension

2018 ◽  
Vol 127 (9) ◽  
pp. 637-642 ◽  
Author(s):  
Chadi A. Makary ◽  
Alex Limjuco ◽  
John Nguyen ◽  
Hassan H Ramadan
Keyword(s):  
Frontal Sinus ◽  
Acute Infection ◽  
Case Series ◽  
Endoscopic Approach ◽  
Sinus Surgery ◽  
Lateral Sinus ◽  
Retrospective Case ◽  
Upper Eyelid ◽  
Sinus Disease ◽  
Special Circumstances

Introduction: Functional endoscopic sinus surgery for frontal sinus disease has obviated the need for external approaches. Special circumstances such as acute infection with orbital involvement or significant lateral sinus disease frequently require adjunct access. We describe the clinical outcomes of a combined upper eyelid crease and endoscopic approach for lateral frontal sinus disease with orbital extension. Methods: A retrospective case series of 7 patients who underwent a combined lid crease approach for frontal sinus disease with orbital extension between April 2012 and October 2016 was performed. All patients had the presence of lateral frontal sinus disease as well as orbital extension as seen on a preoperative computed tomography (CT) scan. Patient demographics, indications for surgery, and perioperative findings were examined. Results: Six of the 7 patients were male. Mean age was 61 years, and the indication for surgery was primarily drainage of mucopyocele and inverting papilloma (IP) in 1 patient. The frontal sinus and orbit were successfully accessed, and the respective pathology was addressed in both locations. No intraoperative or postoperative complications were encountered. There was no postoperative or cosmetic complications. Conclusion: The combined lid crease and endoscopic approach is a safe and effective technique for accessing the lateral frontal sinus and orbit.

Asian Upper Blepharoplasty in Women: A Comprehensive Approach for a Natural and Aesthetically Pleasing Outcome

2021 ◽  
Author(s):  
Chunmei Wang ◽  
Xiaoxia Mei ◽  
Lee L Q Pu
Keyword(s):  
Skin Incision ◽  
Comprehensive Approach ◽  
Asian Women ◽  
Orbicularis Oculi Muscle ◽  
Upper Eyelid ◽  
Cosmetic Procedure ◽  
Eyelid Skin ◽  
Upper Blepharoplasty ◽  
Levator Aponeurosis

Abstract Background Asian upper blepharoplasty is the most popular cosmetic procedure for Asian women. However, there is lack of standardized approach to this procedure and less than optimal results are still common. Objectives In this article, we introduce our comprehensive approach to Asian upper blepharoplasty in women and report our clinical outcomes with this approach. Methods Our comprehensive approach for Asian upper blepharoplasty in women includes: (1) To determine the height and length of the upper eyelid skin crease; (2) To create a more optimal anatomy of the upper eyelid by removing excess eyelid skin, a portion of the orbicularis oculi muscle and septal fat; (3) To reconstruct the desired anatomic structures of the upper eyelid skin crease through plication of the levator aponeurosis, if necessary, and closure of the upper eyelid skin incision through the septum and the mobile portion of the levator aponeurosis; (4) To add a medial epicanthoplasty if needed to enhance final cosmetic results. Results Over a 5-year period, 332 Asian women underwent upper blepharoplasty for creation of double eyelids, or conversion from less visible to more ideal double eyelids, by the authors with the above comprehensive approach. There were no surgical complications postoperatively and 326 patients (98.2%) rated satisfactory for their outcome during 5-year’s follow-up. Only 6 patients (1.8%) required surgical revision for asymmetry or less optimal shape of the upper eyelid. Conclusions Our comprehensive approach to Asian upper blepharoplasty can be used for Asian women with a natural and aesthetically pleasing outcome and low revision rates.

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