CLINICAL CASE A 29-year-old woman presented with a subjective sensation of ocular asymmetry from several months beforehand. Ophthalmological exam showed 3,5 mm right enophthalmos and light hypoglobus. CT (Computerized Tomography) scan showed a collapsed maxillar sinus, and a thinned inferior orbital wall. The diagnosis of silent sinus syndrome was made. An endoscopic maxillary antrostomy with u...

The mechanism of diplopia from enophthalmos is not well understood. We describe a 55-year-old man who underwent a left transorbital craniotomy for clipping of a basilar aneurysm. The lateral orbital wall was not reconstructed properly, resulting in 8 mm of left enophthalmos. Months after surgery the patient developed diplopia with ocular excursions, although he remained orthotropic in primary g...

OBJECTIVES The purpose of this study was to evaluate the advantages and limitations of using a silicon tube to support the fractured orbital floor by a transantral approach. METHODS A retrospective study was conducted from January 2000 to December. 2011 in 51 patients with pure orbital floor fractures. The patients underwent reduction surgery via a transantral approach for inserting a folded ...

Maxillary sinus mucocele can occur due to many medical factors such as chronic infection, allergic sinonasal disease, trauma, and previous surgery. However, it occurs mainly after Caldwell-Luc operation, usually more than 10 years after surgery. There are a few cases of maxillary sinus mucocele with ocular symptoms. Also, a case causing ocular symptoms because of invasion to the orbital floor i...

To cite: Eisa N, Alraiyes AH, Alraies MC. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-010377 DESCRIPTION A 23-year-old woman presented to the primary care clinic with a 10-month history of progressive left facial asymmetry, sinking of left eye and deepening of the superior palpebral sulcus. She denied headache, periocular pain, double vision, scalp or fa...

In this case report we describe a 27-year-old man who presented with progressive enophthalmos for 5 months without any other associated ocular symptoms such as pain, diplopia, or visual disturbance. Computed tomography showed that his progressive enophthalmos originated from a frontoethmoidal mucocele and this caused destruction of the lamina papyracea and shrinkage of the ethmoidal air cell. F...

Xiong et al. reported the largest series of primary non-Hodgkin’s lymphoma (NHL) of the nasal cavity [8]. Median age of presentation was 44 years (Range: 11-79 years) and males were affected more often than females. Maxillary sinus was the most frequent site of involvement followed by the ethmoid sinus and the nasopharynx. The most common presenting symptoms include nasal obstruction, epistaxis...