Endoscope-Assisted Removal of Post-Traumatic Orbital Epidermoid Inclusion Cyst: A Useful Adjunct.

IF 0.7 Q4 OTORHINOLARYNGOLOGY Turkish Archives of Otorhinolaryngology Pub Date : 2023-06-01 Epub Date: 2023-09-18 DOI:10.4274/tao.2023.2022-10-14
Stuti Chowdhary, Saranya Thangavel, Jijitha Lakshmanan, Sunil Kumar Saxena
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Abstract

Orbital epidermoid cysts are uncommon lesions within the bony orbit with varied symptomatology related to both the eye and the sino-nasal system. They are often slow-growing cystic masses which may cause facial asymmetry and visual loss due to pressure symptoms. Cross-sectional imaging such as computed tomography and magnetic resonance imaging are contributory and useful for assessment of the size and actual extent and should be mandatory before planning any surgical intervention. Open approaches and needle aspiration have been traditionally described; however, the use of the rigid nasal endoscope in the intraorbital compartment is a useful adjunct for exploration of the extent of the lesion and for complete surgical clearance. In this report, a 69 years old female with an old post- traumatic orbital epidermoid cyst which was removed completely using an endoscope via transorbital route was presented with the review of literature.

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内镜辅助下切除外伤后眼眶表皮样包涵体囊肿:一种有用的辅助方法。
眼眶表皮样囊肿是骨眼眶内不常见的病变,其症状多种多样,与眼睛和鼻腔系统有关。它们通常是生长缓慢的囊性肿块,可能会因压力症状而导致面部不对称和视力丧失。横断面成像,如计算机断层扫描和磁共振成像,有助于评估大小和实际范围,在计划任何手术干预之前,应是强制性的。传统上对开放式方法和针头抽吸进行了描述;然而,在眶内腔使用刚性鼻内窥镜是探索病变范围和完全手术清除的有用辅助手段。在本报告中,一位69岁的女性患有陈旧性外伤后眼眶表皮样囊肿,该囊肿通过经眶途径使用内窥镜完全切除。
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