Journal of Otology & RhinologyISSN: 2324-8785

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Research Article, J Otol Rhinol Vol: 4 Issue: 3

A Review of Orbital Involvement in Patients with Primary Paranasal Sinus Space Occupying Lesions in a South-East Asian Tertiary Centre

Shantha Amrith1*, Ko Ko Lin1, JK Gangadhara Sundar1 and Chao Siew Shuen2
1Department of Ophthalmology, National University Hospital, Singapore
2Department of Otolaryngology and Head and Neck Surgery, National University Hospital, Singapore
Corresponding author : Shantha Amrith
FRCS, Senior Consultant, Department of Ophthalmology, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074
Tel: (65) 98217402; Fax: (65) 6777 7161
E-mail: [email protected]
Received: August 30, 2014 Accepted: December 29, 2014 Published: April 28, 2015
Citation: Amrith S, Lin KK, Sundar JKG, Shuen CS (2015) A Review of Orbital Involvement in Patients with Primary Paranasal Sinus Space Occupying Lesions in a South-East Asian Tertiary Centre. J Otol Rhinol 4:3. doi:10.4172/2324-8785.1000222

Abstract

A Review of Orbital Involvement in Patients with Primary Paranasal Sinus Space Occupying Lesions in a South-East Asian Tertiary Centre

Objective: To study the ophthalmic symptoms, signs and the outcomes after therapeutic intervention in patients with various space occupying lesions (SOL) of paranasal sinuses (PNS) in a tertiary referral centre in South-East Asia.

Patients and Methods: Retrospective review of all the cases with primary sinus SOL presenting with orbital involvement seen at the ophthalmic plastic service between January 1, 2000 and December 31, 2011.

Results: There were a total of 22 cases. Mean age was 51.5 years and male to female ratio was 2:1. Presenting ophthalmic signs were proptosis (77.3%), palpable mass (63.6%), ophthalmoplegia (54.6%), pain (36.4%) and poor vision (13.6%). All cases were co-managed by Eye and ENT surgeons, with 15 cases first detected by ophthalmologists and 7cases by otolaryngologists. Of the 22 cases, 10 (45.5%) cases were neoplasms, 9 (40.9%) were paranasal sinus mucoceles and 3 cases were dysplastic lesions. Mean follow up period was 23 months (3 months to 69 months).

Conclusion: PNS SOL cases can present with ophthalmic signs and symptoms to the ophthalmologists and often may be the first presentation. Diplopia and ophthalmoplegia are the most common ophthalmic disorders signifying orbital involvement by a PNS SOL. The outcome largely depends upon the primary etiology of the sinus lesion and efficacy of the multi-disciplinary approach.

Keywords: Diplopia; Mucocele; Neoplasm paranasal sinus; Ophthalmoplegia; Proptosis; Visual disability

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