Unilateral visual loss resulting from orbital encroachment of an ethmoidal juvenile trabecular ossifying fibroma

Ngan Ta, Alfred B. Addison, Bijan Beigi, Carl Philpott

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Abstract

Ossifying fibromas are mainly found in the mandible and maxilla. Reports of them arising in the ethmoid sinuses and orbits are rare. We present a case of an otherwise healthy 20-year-old man with gradual onset of right visual disturbance signified by right relative afferent pupillary defect due to a large unilateral ossifying fibroma arising from the ethmoid sinus compressing the medial half of the right orbit. We emphasise the multidisciplinary combined endoscopic endonasal and external approach to ensure a successful debulking of the fibroma.
Original languageEnglish
Article numbere111
Pages (from-to)E111-E114
Number of pages4
JournalAnnals of The Royal College of Surgeons of England
Volume101
Issue number4
Early online date11 Mar 2019
DOIs
Publication statusPublished - Apr 2019

Keywords

  • Fibroma, ossifying
  • Ethmoid sinus
  • Sinus surgery
  • Orbital surgery
  • Optic nerve
  • ENDOSCOPIC RESECTION
  • FIBROOSSEOUS LESIONS
  • PARANASAL SINUSES

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