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Unilateral proptosis in E.N.T. practice.

S H Zaidi1

  • 1Department of E.N.T. and Head & Neck Surgery, Jinnah Postgraduate Medical Centre, Karachi.

JPMA. the Journal of the Pakistan Medical Association
|October 1, 1991
PubMed
Summary
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This study reviewed 17 unilateral proptosis cases, finding mucormycosis, ethmoid polyposis, and malignancy as common causes. Surgical intervention achieved excellent or satisfactory outcomes in most patients, demonstrating effective disease management.

Area of Science:

  • Ophthalmology
  • Otorhinolaryngology
  • Surgical Oncology

Background:

  • Unilateral proptosis presents a diagnostic challenge with diverse etiologies.
  • Prompt surgical intervention is crucial for managing orbital pathologies and preventing complications.

Purpose of the Study:

  • To analyze the causes and surgical management outcomes of unilateral proptosis.
  • To evaluate the efficacy of various surgical approaches in treating orbital diseases causing proptosis.

Main Methods:

  • Retrospective review of 17 patients with unilateral proptosis (age 11-54).
  • Surgical interventions included transverse maxillary osteotomy, transantral ethmoidectomy, modified lateral rhinotomy, and orbital decompression.
  • Disease extirpation and orbital repositioning were primary surgical goals.

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Main Results:

  • Etiologies included mucormycosis (7), ethmoid polyposis (4), malignancy (4), Ringert's tumour (1), and fibrous dysplasia (1).
  • Overall, 11 cases had excellent results, and 3 had satisfactory results.
  • One fatality and two recurrences were reported.

Conclusions:

  • Surgical management of unilateral proptosis can yield favorable outcomes.
  • Multidisciplinary approaches are essential for addressing the diverse causes of proptosis.
  • Timely surgical extirpation and orbital repositioning are key to successful treatment.