Imre Abdulkadir, Pinar Ercan, Paker Irem, Imre Seher Saritepe, Duran Ridvan, Ozturkcan Sedat
From the Departments of *Otorhinolaryngology, †Pathology, ‡Ophtalmology, Izmir Katip Çelebi University Ataturk Training and Research Hospital, Izmir, Turkey.
J Craniofac Surg. 2015 Jan;26(1):e36-7. doi: 10.1097/SCS.0000000000001296.
A 44-year-old man developed a slow-growing painless left superolateral orbital mass that extended into the frontal sinus with a complaint of ptosis. Magnetic resonance imaging revealed a heterogenous hyperintense lesion confined to the left frontal bone and superior orbit. The osteoplastic frontal sinus approach was performed to drain supraorbital cholesterol granuloma cyst and for curetting the capsule. Orbitofrontal cholesterol granuloma characteristically arises in the diploe of the superolateral frontal bone. The traditional approach for a primarily orbitofrontal cholesterol granuloma is the transorbital approach including anterior orbitotomy or lateral orbitotomy. However, the osteoplastic approach should be kept in mind as an alternative aprroach for the management of supraorbital lesions in patients with well-pneumatized frontal sinus.
一名44岁男性出现左侧眶上外侧缓慢生长的无痛性肿块，延伸至额窦，并伴有上睑下垂。磁共振成像显示一个异质性高信号病变，局限于左侧额骨和眶上部。采用骨成形性额窦入路引流眶上胆固醇肉芽肿囊肿并刮除包膜。眶额部胆固醇肉芽肿典型地发生于额骨眶上外侧的板障内。对于原发性眶额部胆固醇肉芽肿，传统的治疗方法是经眶入路，包括前路眶切开术或外侧眶切开术。然而，对于额窦气化良好的患者，骨成形性入路应作为处理眶上病变的一种替代方法予以考虑。
