Introduction. Silent sinus syndrome is a rare condition, characterized by spontaneous and progressive enophthalmos and hypoglobus associated with atelectasis of the maxillary sinus and downward displacement of the orbital floor. Patients with this syndrome present with ophthalmological complaints, without any nasal or sinus symptoms. Silent sinus syndrome has a painless course and slow development. It seems to be a consequence of maxillary sinus hypoventilation due to obstruction of the ostiomeatal unit. The CT scan findings are typical and definitely confirm the diagnosis of silent sinus syndrome. Case report. We present the case of a 35-year-old woman, with no history of orbital trauma or surgery. She had slight righthemifacial pressure with no sinonasal symptoms. The patient had no double vision nor other ophthalmological symptoms. The diagnosis of silent sinus syndrome was based on the gradual onset of enophthalmos and hypoglobus, in the absence of orbital trauma (including surgery) or prior symptoms of sinus disease. On paranasal CT scans there was a complete opacification and atelectasis of the right maxillary sinus with downward bowing of the orbital floor. The patient was treated with functional endoscopic sinus surgery, with no orbital repair. Conclusion. Silent sinus syndrome presents with orbithopaties but is in fact a rhinologic disease, so all ophthalmologists, rhinologists and radiologists should know about it. The treatment of choice for silent sinus syndrome is functional endoscopic sinus surgery, which should be performed with extra care, by an experienced rhinosurgeon.
Lobular panniculitis is a skin condition that may be the first sign of underlying pancreatic disease. Though rare, the condition has been sufficiently well defined and pathognomonic, thus making differentiation from idiopathic lobular panniculitis quite possible. A 77-year-old woman was in apparently good general health condition when developed skin lesions in a form of erythematous painful fluctuant nodules localized predominantly on the breast, but also present on the arms, thighs, and trunk. Her serum and urinary amylase levels were respectively 3 and 8 fold higher than normal. On histology, skin biopsy showed acute lobular panniculitis with large foci of adipocyte necrosis. Examination of the breast excluded any specific process other than nodular subcutaneous inflammation, but revealed a tumor of the pancreatic head. The nodules spontaneously ulcerated exuding an oily thick brownish material. Her condition deteriorated, and she became progressively debilitated. The patient died before operation, within the next 3 weeks. Subcutaneous fat necrosis was the first manifestation of an otherwise occult pancreatic disease with fatal outcome
Introduction: The sphenoid sinus is considered to be morphologically one of the most variable structures in the human body. Aim: The aim of this study was to analyse the variants of pneumatisation of sphenoid bone and to determine differences in relation to the gender and body side in the population of Vojvodina. Material and methods: This retrospective study included 60 patients (30 males and 30 females), mean age 39.92 years, who underwent a CT scan of paranasal sinuses in the Center of Radiology, Clinical Center of Vojvodina, Novi Sad. The total number of analysed sinuses was 120. The CT scan images were presented in coronal, sagittal and axial planes. The types and the extensions of sinus were analysed. Results: The most common type of the sphenoid sinus was sellar (83.33%), followed by presellar (15.83%). The conchal type was found in only one case (0.83%). The most frequent subtype of the posterior extension in males was subdorsal (48%) and in females subtype body (42%). The presence of both lateral and anterior extensions was found in 18.33% cases, only lateral extension in 45% cases and only anterior in 10%. Conclusion: The most common type of sphenoid sinus was sellar, while the conchal type was the rarest one. The most frequent subtype was subdorsal in males and subtype body in females. The lateral extension was observed more often in comparison to the anterior extension.
Introduction: Aggressive fibromatosis, also known as desmoid type fibromatosis (DF) is a locally aggressive fibroblastic neoplasm that can arise anywhere in the body with no potential for metastasis and a high recurrence rate after surgical resection. Mesenteric fibromatosis are locally aggressive DF of the mesentery with a high propensity for bowel involvement. The real etiology of these tumors remains unknown, occurring sporadically or in association with familial adenomatous polyposis (FAP), as Gardner syndrome.Case report: A 34 year old female patient presented with a palpable solid tumefactive mass in the left hemiabdomen. Contrast enhanced computed tomography (CT) and magnetic resonance imaging (MRI) revealed multiple massive solid tumefactions in the mesentery and in between the small bowel loops. Colonoscopy confirmed the presence of multiple sessile polyps characteristic of FAP. Tissue samples of the mesenteric mass were acquired via ultrasound guided biopsy with pathohistologic confirmation of desmoid fibromatosis with imunohistochemical analysis. The risk of surgery was deemed too high at the time due to the size of the mass and proximity to mesenteric vascular structures, therefore the patient was planned for chemotherapy with a potential for further surgical reevaluation. Conclusion:Mesenteric fibromatosis is a rare neoplasm that presents with a wide range of histologic and imaging features. Computed tomography (CT) and magnetic resonance imaging (MRI) play a crucial role in evaluation and planning an optimal treatment model for patients with mesenteric fibromatosis.
Introduction. The magnetic resonance imaging (MRI) was found to be insensitive diagnostic modality in detecting the abnormalities in patients with vestibular neuritis. Case report. A 32-year-old man was admitted to hospital with clinical signs of acute vestibular neuritis. The conventional MRI was inconclusive, including 3 mm slice-thickness postcontrast study, while the postcontrast high resolution study with 1 mm slice-thikness, detected bilateral enhancement of the vestibulocochlear nerve's vestibular branch, consistent with inflammation. Conclusion. High-resolution 1 mm or submilimeter slices should be perfomed to evaluate patients with vestibular neuritis in order to increase the MRI sensitivity and improve correlation with clinical findings.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.