Pneumocele--a rare cause of air in the orbit

American Journal of Ophthalmology
Patrick R BoulosPeter A D Rubin

Abstract

To report a case of unilateral proptosis and chronic pansinusitis in which the diagnosis of pneumocele was made. Observational case report. A retrospective chart review was made. A 52-year-old man with chronic pansinusitis presented with a 5-mm proptosis and a larger palpebral fissure in the left eye. Computed tomography imaging demonstrated an air-filled mass originating from the frontal sinus and protruding into the orbit. After endoscopic sinusotomy and excision of the mucosal sac through anterior orbitotomy, proptosis improved to 3 mm and palpebral fissures became symmetric. A pneumocele is a rare lesion of the paranasal sinuses that may expand into the orbit and may present with proptosis or motility deficit to the ophthalmologist. Through proper diagnosis and surgical management, the orbital symptoms will resolve.

References

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Citations

Dec 18, 2009·American Journal of Otolaryngology·Ahmed K Abdel-AalJoel K Curé
Apr 13, 2018·Case Reports in Ophthalmology·Panagiotis GiannakourasEfthymia Tsina
Nov 14, 2007·Clinical & Experimental Ophthalmology·Manickam Nick MuthiahJane M Olver
May 17, 2018·Culture, Health & Sexuality·Claire Kimberly, Robert McGinley
Aug 7, 2008·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Demet KaradagBaki Adapinar
Nov 2, 2006·Nature Materials·Rudolf Bratschitsch, Alfred Leitenstorfer
Jun 24, 2008·Orbit·Aanchal GuptaDinesh Selva
Aug 26, 2015·Allergy & Rhinology·Michelle SongJosef Shargorodsky
Aug 22, 2018·Ophthalmic Plastic and Reconstructive Surgery·Kelsey A RoelofsMichael K Yoon

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