Yadav Jitendra Singh, Yelishetty Haraprathap, Tripathi Shalini, Kumar Vineet, Ansari Abubkar, Sharma Vishakha, Singh Vibhav
Dept. of otorhinolaryngology, MLB Medical College, Jhansi, 284128 UP India.
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3925-3928. doi: 10.1007/s12070-023-03984-y. Epub 2023 Jun 19.
Cavernous hemangioma of orbit is a benign, noninfiltrative, slowly progressive vascular neoplasm. It is usually asymptomatic but patients may present with proptosis and diminished vision due to compression of second cranial nerve, optic nerve. This can be usually diagnosed with the help of clinical examination and computed tomography (CT) or magnetic resonance imaging (MRI). Small sized tumours are worth wait and watch while large ones need surgical excision. In our case report, A 65-year-old male patient presented to the head and neck surgery with proptosis of left eye since 5 years along with decreased vision since 4 years. MDCT scan (orbits plain) suggestive of large solid retroocular, intraconal mass in left orbit leading to proptosis of left eyeball. The patient underwent excision of tumour through a transnasal endoscopic approach. Histopathological examination of the tumour identified as cavernous hemangioma. It is safe and effective way to access and excise the orbital tumours through the transnasal endoscopic approach. It is essential to have experienced surgeon in endoscopic procedures. The patient had satisfactory results at three months follow up and showed no symptoms or relapse on CT scans of orbital region.
The online version contains supplementary material available at 10.1007/s12070-023-03984-y.
眼眶海绵状血管瘤是一种良性、非浸润性、进展缓慢的血管性肿瘤。它通常无症状，但患者可能因第二颅神经、视神经受压而出现眼球突出和视力下降。这通常可以通过临床检查以及计算机断层扫描（CT）或磁共振成像（MRI）来诊断。小尺寸肿瘤值得观察，而大尺寸肿瘤则需要手术切除。在我们的病例报告中，一名65岁男性患者因左眼眼球突出5年且视力下降4年就诊于头颈外科。MDCT扫描（眼眶平扫）提示左眼眶内有一个巨大的实性眼后、肌锥内肿块，导致左眼球突出。患者通过经鼻内镜入路进行了肿瘤切除。肿瘤的组织病理学检查确诊为海绵状血管瘤。经鼻内镜入路是进入和切除眼眶肿瘤的一种安全有效的方法。内镜手术必须由经验丰富的外科医生进行。患者在三个月随访时效果满意，眼眶区域CT扫描未显示任何症状或复发。
在线版本包含可在10.1007/s12070-023-03984-y获取的补充材料。
