Intraorbital Subperiosteal Hematoma due to Paranasal Mucocele —Case Report—

Aoki, Hideo; Tanaka, Yoshihiro; Niki, Yoichi; Kamada, Kiyoshi; Fujita, Toyohisa

doi:10.2176/nmc.37.627

Cited by 18 publications

(8 citation statements)

References 9 publications

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“…Proptosis of 5 mm and large subperiosteal lesion were indications for immediate surgery. All 11 previous cases of subperiosteal hematoma secondary to sinusitis were treated surgically (Wheeler 1937;Harris et al 1978;Leopold et al 1980;Ichino et al 1985;Choi et al 1988;Zalzal 1991;Aoki et al 1997;Woo and Kim 1997;Park et al 2010). The pathogenesis of subperiosteal hematoma is thought to be rupture of vessels as a result of phlebitis in the sinus mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…Orbital subperiosteal hematoma is rare and occurs most often after trauma (Dobben et al 1998). Subperiosteal hematoma secondary to sinusitis is extremely rare with only 11 reported cases (Wheeler 1937;Harris et al 1978;Leopold et al 1980;Ichino et al 1985;Choi et al 1988;Zalzal 1991;Aoki et al 1997;Woo and Kim 1997;Park et al 2010). Only one of these 11 cases was aged under 18 years (Zalzal 1991).…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Drainage of Orbital Subperiosteal Hematoma Secondary to Acute Rhinosinusitis in a Child

Nomura

Honkura

Ozawa

et al. 2014

Tohoku J. Exp. Med.

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Acute rhinosinusitis is frequently associated with secondary orbital infection, most commonly subperiosteal abscess. Although orbital subperiosteal abscess is a deadly disease that might lead to blind and cavernous sinus thrombosis, recent review of literature showed that immediate surgical intervention might not always be necessary for subperiosteal abscess. Orbital inflammation secondary to sinusitis is common in children, whereas orbital subperiosteal hematoma secondary to sinusitis is extremely rare, with only 11 reported cases, including one case in children. All the cases were treated with surgical intervention. Here we present a 12-year-old girl with rhinosinusitis and proptosis. Emergent endoscopic sinus surgery with partial removal of the lamina papyracea revealed dark brown fluid in the subperiosteal space. The patient was symptom-free 2 weeks after surgery. The present case was treated exclusively via an endonasal approach, whereas all 11 previous cases of subperiosteal hematoma were treated with external incision. The endonasal approach is favorable, especially for young female patients. Our review of literature shows that sudden onset, afebrile, and few signs of inflammation on blood test in patients with subperiosteal lesion may indicate subperiosteal hematoma. Surgery rather than antibiotic administration should be considered for the treatment of suspected subperiosteal hematoma. Treatment through only the endonasal approach is possible even if the hematoma is located in the roof of the orbit.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Endoscopic Drainage of Orbital Subperiosteal Hematoma Secondary to Acute Rhinosinusitis in a Child

Nomura

Honkura

Ozawa

et al. 2014

Tohoku J. Exp. Med.

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“…Subperiosteal hematoma is an infrequent condition, most commonly reported in the human medical literature in relation to the orbit. Development of hemorrhage in this region has been reported to result from trauma, infection/inflammation, or an underlying coagulopathy . The condition is considered to be spontaneous when there is no evidence of an underlying pathogenic mechanism .…”

Section: Discussionmentioning

confidence: 99%

Imaging Diagnosis ‐ Spontaneous Subperiosteal Vertebral Hemorrhage in a Greyhound

Theobald

Dennis

Beltrán

2013

Vet Radiology Ultrasound

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A 4-year-old, spayed female greyhound dog was presented with an acute onset of paraplegia. There was no known history of trauma or coagulopathy. Spinal cord compression was identified on MRI. Intra-operative evaluation revealed the presence of a large subperiosteal hematoma and a smaller epidural hematoma. To the authors' knowledge, this is the first report of a spinal subperiosteal hematoma diagnosed antemortem through MRI, with surgical exploration and successful treatment in a dog.

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“…1,8,9) Trauma, inflammation, mass lesion such as polyps and osteosis, or anatomic anomalies are all factors which may lead to sinus obstruction. [1][2][3]5,7,10) In our present case, the intraorbital mucocele was isolated without anatomical communication between the sinus and…”

Section: Discussionmentioning

confidence: 99%

Intraorbital Mucocele Associated With Old Minor Trauma-Case Report-

Asamoto

Böker

Lücke

2003

Neurol. Med. Chir.(Tokyo)

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A 46-year-old white man complained of swelling in the left orbital region. The only significant event in his medical history was minor trauma which occurred during ice hockey 15 years previously. On admission, the only clinical finding was left-sided exophthalmos. Computed tomography and magnetic resonance imaging revealed a left intraorbital cystic mass lesion. The cystic mass was completely removed through a left subfrontal extradural approach. There was no anatomical contact with the paranasal sinuses and the orbital walls were intact. The cystic mass was isolated in the orbital cavity. Histological examination confirmed the diagnosis of mucocele. Generally, the cause of mucocele is chronic sinusitis, but we suspect that the old minor trauma was the most likely cause in the present case.

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Intraorbital Subperiosteal Hematoma due to Paranasal Mucocele —Case Report—

Abstract: A 68-year

Cited by 18 publications

References 9 publications

Endoscopic Drainage of Orbital Subperiosteal Hematoma Secondary to Acute Rhinosinusitis in a Child

Endoscopic Drainage of Orbital Subperiosteal Hematoma Secondary to Acute Rhinosinusitis in a Child

Imaging Diagnosis ‐ Spontaneous Subperiosteal Vertebral Hemorrhage in a Greyhound

Intraorbital Mucocele Associated With Old Minor Trauma-Case Report-

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