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Proptosis: The ENT Surgeon's Perspective.

M Venugopal1, M Sagesh2

  • 1Government Medical College, Thiruvananthapuram, Kerala India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|January 16, 2014
PubMed
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Nasal and paranasal sinus pathologies frequently cause proptosis, with malignancy being the leading cause. Early clinical and radiological evaluation is crucial for prompt diagnosis and tailored treatment of proptosis.

Area of Science:

  • Otolaryngology
  • Ophthalmology
  • Oncology

Background:

  • Proptosis, or bulging of the eye, is a common sign of orbital disease.
  • Nasal and paranasal sinus pathologies are significant, yet often overlooked, causes of proptosis.

Purpose of the Study:

  • To investigate the spectrum of nasal and paranasal sinus pathologies causing proptosis.
  • To identify the primary etiologies and demographic patterns of proptosis in this context.

Main Methods:

  • A prospective study was conducted over two years.
  • Forty-four cases of proptosis secondary to sinonasal pathology were analyzed.

Main Results:

  • Malignancy, particularly squamous cell carcinoma, was the most frequent cause of proptosis (63.6% males, 33.4% females, peak age 41-50).
Keywords:
MalignancyMucoceleParanasal sinusesProptosisSinusitis

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  • Frontoethmoid mucocele was the second leading cause.
  • Fungal sinusitis accounted for 15.9% of cases.

    • Conclusions:

    • Sinonasal malignancies are a primary driver of proptosis, followed by mucoceles.
    • Prompt clinical and radiological assessment is essential for accurate diagnosis.
    • Treatment strategies must be individualized based on the specific underlying lesion.