Galletti Bruno, Gazia Francesco, Galletti Cosimo, Galletti Francesco
Department of Adult and Development Age Human Pathology "Gaetano Barresi", Unit of Otorhinolaryngology, Universita degli Studi di Messina, Messina, Italy.
BMJ Case Rep. 2019 Apr 30;12(4):e229376. doi: 10.1136/bcr-2019-229376.
We present a case of a 16-year-old girl with interruption of papyracea lamina and herniation of the periorbital fat covered by a bone shell. The patient presents with a history of diplopia and visual disturbances ever since she can remember. Thanks to radiological imaging and biopsy, we have done differential diagnosis with periorbital lipoma, intraosseous lipoma and intramuscular lipoma of medial rectus. Diagnostic for images is necessary for a correct operative planning. Endoscopic sinus surgery with computer-assisted navigation is the safest and most effective method to remove the lesion that was closely related to the medial rectum muscle and to the anterior ethmoidal artery. The patient after surgery and in 1 year of follow-up reports the disappearance of symptoms.
我们报告一例16岁女孩，其纸样板中断，眶周脂肪疝出并被骨壳覆盖。该患者自记事起就有复视和视觉障碍史。借助放射影像学检查和活检，我们对眶周脂肪瘤、骨内脂肪瘤和内直肌肌内脂肪瘤进行了鉴别诊断。影像诊断对于正确的手术规划很有必要。计算机辅助导航下的鼻内镜鼻窦手术是切除与内直肌和筛前动脉密切相关病变的最安全、最有效的方法。患者术后及1年随访时症状消失。
