Visual loss in patients with sphenoethmoidal cells

Rimmer, Joanne; Beale, Timothy; Lund, Valerie J.

doi:10.1017/s0022215114003454

Cited by 3 publications

(8 citation statements)

References 18 publications

(27 reference statements)

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“…Optic neuropathy can occur due to compression of the canalicular portion of the optic nerve around the posterior ethmoidal and sphenoidal sinusitis. 3 The present case exhibited a good response to IV steroid therapy, which may have been due to reduced edema of the compressed optic nerve. Optic neuropathy associated with invasive aspergillus infection has been reported only rarely in immunocompetent patients.…”

supporting

confidence: 48%

Questioning the Diagnosis of Recurrent Optic Neuritis Associated with Neuro-Behçet's Disease

Bae

Shin

2018

J Clin Neurol

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supporting

confidence: 48%

Questioning the Diagnosis of Recurrent Optic Neuritis Associated with Neuro-Behçet's Disease

Bae

Shin

2018

J Clin Neurol

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“…6 SEM is a benign cystic tumor that often expands rapidly, leading to compressive optic neuropathy with irreversible visual loss due to its anatomical proximity. 5 Our patient was misdiagnosed with dry eye syndrome and idiopathic optic neuritis in a local ophthalmologic clinic and was later diagnosed as SEM by CT in the neurology department at a relatively late time. There is a clinical consensus in the literature that immediate diagnosis and urgent treatment of SEM can achieve satisfactory postoperative outcomes with less visual complication.…”

Section: Discussionmentioning

confidence: 80%

“…There is a clinical consensus in the literature that immediate diagnosis and urgent treatment of SEM can achieve satisfactory postoperative outcomes with less visual complication. 2,4,5,7 A meta-analysis by Zukin et al concluded that prompt surgery (<6 days) is crucial for optimal visual prognosis. 8 Surgical drainage was performed on our patient approximately one month after her initial visual impairment.…”

Section: Discussionmentioning

confidence: 99%

“…1 Due to the benefit of vascularized bone grafts or reconstructive plates, mandibular continuity can be restored successfully and effectively. [2][3][4][5] Such reconstructions and contour corrections can also be achieved with a virtual surgical plan (VSP) in combination with three-dimensional (3D) printed surgical models and/or prebent titanium plates. 6,7 Mandibular reconstruction with titanium plates alone, or by grafted bone combining the prebent titanium reconstructive plates or mini-titanium plates, can provide enough mechanical strength and stabilize the mandibular segments.…”

Section: Discussionmentioning

confidence: 99%

“…3 Numerous studies have reported on the endoscopic management of SEM and its clinical advantages. 4,5 However, there is a lack of information regarding recurrence after endoscopic marsupialization and the importance of its surgical extent.…”

mentioning

confidence: 99%

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Recurred Sphenoethmoidal Mucocele After Treated With Simple Endoscopic Marsupialization

Lee

2021

Journal of Craniofacial Surgery

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mucosal tissue and cartilage tissue to reconstruct the palpebral conjunctiva and tarsus (Fig. 2C). Suture the mucosal which was faced inward cartilage complex to the defect of left lower eyelid, mucosa was faced inward (Fig. 2D). Fully separate the subcutaneous tissue along the outside of the left lower eyelid to form a flap to cover the inner defect wound. When there was no obvious tension, the mucosa of the mucosal cartilage complex was sutured to the edge of the flap to reconstruct the eyelid margin. Then the subcutaneous tissue and skin of the skin flap were sutured (Fig. 2E). DISCUSSIONOptimal restoration of esthetics and anatomical function, with a minimum of surgical complication is the ultimate goal of eyelid reconstruction. It is essential to pay attention to reconstitution of the eyelid structure. At the anterior layer, beautiful skin needs to be created, and the function of the orbicularis muscle must be maintained as much as possible. Creating a posterior lamella replacing tarsus at the eyelid margin and providing for a smooth mucosal surface that protects and preserves the cornea. 3 In conclusion, the author used buccal mucosa to repair the conjunctival surface of the lower eyelid defect maintain the function of the conjunctival surface, reduce the damage to the original ocular surface environment. Using autologous auricular cartilage as the skeleton of the eyelid defect, provided better support for the flap, and the site had a good esthetic appearance after surgery. Using skin flap to repair the skin surface of the lower eyelid defect, the eyelid defect can be repaired and good clinical results can be obtained. What we are most worried about is the cartilage did not survive and scar contracture causing lower eyelid ectropion. Fortunately, during the follow-up of this case (Fig. 2F), no related complications were found.

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Complete orbital apex syndrome from an onodi cell mucocele: a case report.

Nathe¹,

Shen²,

Crow³

2018

clinical-ophthalmology

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Mucoceles of the posterior ethmoid sinuses are rare, mucous-filled cyst-like lesions that may cause orbital apex syndrome. We present a rare case of complete unilateral orbital apex syndrome in an 86year old woman secondary to an Onodi cell mucocele. She presented with vision loss of the right eye to no light perception as well as complete ophthalmoplegia in that eye. She had significant improvement in vision and complete resolution of ophthalmoplegia following urgent endoscopic surgical decompression. Despite her improvement in vision, mild thinning of the optic nerve was demonstrated on optical coherence imaging of the nerve fiber layer over the next several months, indicating limited yet irreversible damage to the optic nerve. This highlights the need for increased clinical suspicion for orbital apex syndrome due to Onodi cell mucocele and a readiness for prompt surgical intervention.

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Visual loss in patients with sphenoethmoidal cells

Abstract: Pathology within a sphenoethmoidal cell must be considered in cases of optic neuropathy. The presence of these cells may be relevant even in cases of seemingly uncomplicated rhinosinusitis as they are associated with a higher rate of optic nerve protrusion and dehiscence.

Cited by 3 publications

References 18 publications

Questioning the Diagnosis of Recurrent Optic Neuritis Associated with Neuro-Behçet's Disease

Questioning the Diagnosis of Recurrent Optic Neuritis Associated with Neuro-Behçet's Disease

Recurred Sphenoethmoidal Mucocele After Treated With Simple Endoscopic Marsupialization

Complete orbital apex syndrome from an onodi cell mucocele: a case report.

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