Orbital lymphatic malformation showing the symptoms of orbital complications of acute rhinosinusitis in children: A report of 2 cases

Abstract Orbital lymphatic malformations are benign cystic malformations of the lymphatic system. The present report shows two cases with symptoms of orbital complications of acute rhinosinusitis with proptosis, compressive optic neuropathy, loss of vision and cellulites in children. Magnetic resona...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2009-10, Vol.73 (10), p.1480-1483
Main Authors: Zimmermann, A.P, Eivazi, B, Wiegand, S, Werner, J.A, Teymoortash, A
Format: Article
Language:English
Subjects:
Acute Disease
Acute rhinosinusitis
Adolescent
Anti-Bacterial Agents - therapeutic use
Biopsy, Needle
Child, Preschool
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Immunohistochemistry
Lymphatic Abnormalities - diagnosis
Lymphatic Abnormalities - pathology
Lymphatic Abnormalities - surgery
Lymphatic malformation
Magnetic Resonance Imaging - methods
Male
Orbital complications
Orbital Diseases - diagnosis
Orbital Diseases - pathology
Orbital Diseases - surgery
Orbital Neoplasms - diagnosis
Orbital Neoplasms - pathology
Orbital Neoplasms - surgery
Otolaryngology
Pediatrics
Rhinitis - diagnosis
Rhinitis - drug therapy
Rhinitis - pathology
Risk Assessment
Severity of Illness Index
Sinusitis - diagnosis
Sinusitis - drug therapy
Sinusitis - pathology
Tomography, X-Ray Computed - methods
Treatment Outcome
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Summary:Abstract Orbital lymphatic malformations are benign cystic malformations of the lymphatic system. The present report shows two cases with symptoms of orbital complications of acute rhinosinusitis with proptosis, compressive optic neuropathy, loss of vision and cellulites in children. Magnetic resonance imaging (MRI) revealed a well-demarcated intraorbital mass with heterogeneous signal conformable with lymphatic malformation in both cases. A tumor extirpation was performed via lateral orbitotomy in both cases. Postoperatively the symptoms and especially the loss of vision improved completely. Histological analysis of the surgical specimens verified lymphatic malformations of the orbit. Orbital lymphatic malformations can mimic the symptoms of orbital complications of acute rhinosinusitis. The existence of lymphatic malformation should be considered in every orbital complication of rhinosinusitis in children.
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2009.06.020