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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 2001 September;51(3):111-8
Proptosis: otolaryngologist point of view
Gupta A. K., Bakshi J., Man S. B. S.
From the Department of Otorhinolaryngology Postgraduate Institute of Medical Education & Research, Chandigarh, India
Background. The study was undertaken to find various lesions presenting as proptosis and to study their management protocols from the otolaryngologist’s point of view.
Methods. Experimental design: this study was conducted from 1994 to 2000 in which all cases of proptosis who presented to ENT and Head and Neck Surgery OPD were included. Settings: this study was carried out at Postgraduate Institute of Medical & Research, Chandigarh (India) which is a tertiary care hospital. Patients: total 27 patients with proptosis were included in the study. 98% of the patients belonged to poor socio-economic class. 8 cases had proptosis due to tumours of the orbit, 5 cases had fungal granuloma of the orbit, 4 had dermoid cysts, 4 had arterio-venous malformation (AVMS) in the orbit and one each had lacrimal sac mucocele, orbital pseudolymphoma hydatid cyst and hamartoma of the orbit. Measures: surgery was considered to be the treatment of choice for benign tumors with proptosis. It has to be combined with radiotherapy and/or chemotherapy for malignant tumors. For cases with fungal granuloma invading the orbital tissues and optic nerve, oral itraconazole (dose 200 mg twice daily) for 4-6 months was found to be effective.
Results. Single stage surgical procedures were used in 22 cases. One case with adenoid cystic carcinoma and the other with recurrent AVMS needed second surgery for recurrent disease. No mortality was found during 5 years follow-up.
Conclusions. The results of this study are encouraging and show that an otolaryngologist plays a vital role in the management of such cases.