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[9000444.] رقم البحث : 9000444 - |
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Usual ocular presentations as unusual paranasal Sinus presentations / |
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قطاع الدراسات الطبية / أنف وأذن |
| تخصص البحث : أنف وأذن |
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Menoufia Medical Journal / / Vol. 25, No. 2 - July 2012 |
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د/ عصام عبدالونيس بحيرى ( 122160184 ) |
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Background:- Ocular manifestations without sinonasal symptoms can cause
perplexity and delayed presentations in patients with paranasal sinus
pathology. So the aim of this study was to study the value of ordinary ocular
complains in patients without typical paranasal sinus symptoms and to
discuss the possible mechanisms and prognosis of such patients.
Methods:- Retrospective study on 476 patient complaining from usual ocular
symptoms but ophthalmic examination were free referred for
otorhinolaryngology consultations, 31 patients (6.5%) selected had an
ophthalmic complains without ordinary sinonasal symptoms but with
pathology involving the paranasal sinuses discovered accidentally after
diagnostic nasal endoscopy and C.A.T to exclude paranasal sinus
disorders.Patients underwent symptoms anamnesis, ophthalmic and
otolaryngological examination including diagnostic nasal endoscopy and
computed tomography (CT) scan. Effect of treatment on patient symptoms
was also analyzed. RESULTS: Ocular symptoms and signs presentations
were orbital pain in all patients (100%); proptosis (n=8; 25.8%), blurred vision
(n=16;51.6%); impairment of ocular mobility (n=3, 9.6%); ptosis(n=1;3.2%)
and epiphoria (n=2;6.4%). Paranasal sinus pathology was observed on the
anterior group of sinuses (maxillary and or frontal and anterior ethmoids (n
=16; 51.6%), posterior group(sphenoid and /or posterior ethmoids (n=10,
32.2%), and both sides (n=5, 16.1%). Endoscopic sinus surgery were done
for all patients Ophthalmic complaints disappeared in (67.7%), improved in
(22.6%) with total success of (90%). Conclusion: with absence of usual
paranasal sinus symptoms, patients with orbital pain, proptosis and visual
acuity changes must be referred early for otorhinolaryngology consultations.
Visual acuity changes and direction of proptosis can direct attention to
paranasal sinuses involved (i.e. anterior or posterior). |
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Otorhinolaryngology, (i.e. anterior or posterior). |
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