Subscribe to RSS
Proptosis in Otorhinolaryngology: An Overview
Introduction Ear, nose and throat (ENT)pathologies can present with proptosis as the early manifestation. The majority of ENT pathologies present with ocular manifestations, due to close anatomical relationship.
Objective To study proptosis in ENT disorders in terms of etiology, pathogenesis, and management.
Methods The present article is a prospective study conducted at a tertiary care center, in Telangana, India. Patients presenting with proptosis secondary to ENT disorders were thoroughly evaluated and subjected to surgical exploration after providing a signed informed consent.
Results Sixty cases of proptosis secondary to ENT disorders have been reported. The most common cause was sinonasal squamous cell carcinoma followed by juvenile nasopharyngeal angiofibroma and allergic fungal rhinosinusitis.
Conclusion Many ENT disorders can present with proptosis. Proptosis needs to be evaluated completely for proper management and to limit the morbidity associated with it.
Received: 25 September 2019
Accepted: 04 March 2020
30 June 2020 (online)
© 2020. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
- 1 Wright JE. Proptosis. Ann R Coll Surg Engl 1970; 47 (06) 323-334
- 2 Williamson-Noble FA, Williamson-Noble FA. Diseases of the orbit and its contents, secondary to pathological conditions of the nose and paranasal sinuses. Ann R Coll Surg Engl 1954; 15 (01) 46-64
- 3 Sinha V, Bhardwaj D, George A, Memon RA. Proptosis through eyes of E.N.T. surgeon. Indian J Otolaryngol Head Neck Surg 2005; 57 (03) 207-209
- 4 Mahsud ZS, Bano S. Diagnostic role of CT scan in proptosis in paediatric age group. J Postgrad Med Inst 2004; 18 (03) 439-442
- 5 Conley J, Baker DC. Management of the eye socket in cancer of the paranasal sinuses. Arch Otolaryngol 1979; 105 (12) 702-705
- 6 Venugopal M, Sagesh M. Proptosis: The ENT Surgeon's Perspective. Indian J Otolaryngol Head Neck Surg 2013; 65 (02) (Suppl. 02) 247-250
- 7 Moore AT, Buncic JR, Munro IR. Fibrous dysplasia of the orbit in childhood. Clinical features and management. Ophthalmology 1985; 92 (01) 12-20
- 8 Sabharwal KK, Chouhal AL, Jain S. Evaluation of proptosis. Indian J Radiol Imaging 2006; 16 (04) 683-688
- 9 Sayed YEl. Orbital involvement in sinonasal disease. Saudi J Ophthalmol 1995; 9 (01) 29-37
- 10 Johnson LN, Krohel GB, Yeon EB, Parnes SM. Sinus tumors invading the orbit. Ophthalmology 1984; 91 (03) 209-217
- 11 Cannon ML, Antonio BL, McCloskey JJ, Hines MH, Tobin JR, Shetty AK. Cavernous sinus thrombosis complicating sinusitis. Pediatr Crit Care Med 2004; 5 (01) 86-88
- 12 Kumar A, Chauhan JPS, Bhadouriya SKS, Bharti B, Narain P, Singh J. Orbital complications of ENT diseases. International Journal Of Otorhinolaryngology and Head and Neck Surgery. 2018; 4 (01) 210-216