Congenital microphthalmos with orbital dermoid cyst extending to frontal sinus.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Abid Majeed Rather, Bijnya Birajita Panda, Alok Kumar Sethi, Ashok Kumar Jena
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引用次数: 0

Abstract

A child presented with a chronic mucus discharging fistula from a mass over the right eyelid. There was a diagnostic dilemma about the mucus discharge from the mass which was probably thought to be secreted from the frontal sinus. The lesion caused a noticeable swelling in the eyelid with potential implications for surrounding structures. During surgical exploration, a large dermoid cyst was found occupying the entire orbit and extending into the frontal sinus, which was then thoroughly curetted and packed with fat to prevent recurrence and maintain structural integrity. On further exploration, a very rudimentary globe with a small optic nerve stump was discovered during the surgery, which was enucleated and socket reconstruction was performed with dermis-fat graft. The patient had a smooth postoperative recovery with good cosmetic results and no signs of recurrence or complications.

先天性小眼伴眼眶皮样囊肿,并延伸至额窦。
儿童表现为慢性粘液排出瘘管从肿块在右眼睑。有一个诊断困境的粘液分泌物肿块可能被认为是分泌额窦。病变引起眼睑明显肿胀,对周围结构有潜在影响。在手术探查时,发现一个大的皮样囊肿占据了整个眼眶并延伸到额窦,然后将其彻底切除并填充脂肪以防止复发并保持结构完整性。在进一步的探索中,在手术中发现了一个非常原始的球体和一个小的视神经残端,将其去核并使用真皮-脂肪移植进行窝重建。患者术后恢复顺利,美容效果良好,无复发或并发症迹象。
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来源期刊
BMJ Case Reports
BMJ Case Reports Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
1588
期刊介绍: BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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