To cite: Di Pasquale D, Saibene AM, Bebi V, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-201581 DESCRIPTION A 60-year-old patient was referred to our ear nose and throat (ENT) clinic for facial pain, bilateral midface swelling and purulent nasal discharge. The patient had undergone a bilateral maxillary sinus augmentation procedure 3 weeks before. ...

Thirty cases of orbital floor blow-out fractures proven by tomography were retrospectively reviewed to determine the accuracy of the plain films. Using the maximum diameter from the tomograms, the area and volume of the fractures were calculated and correlated with the presence of diplopia and enophthalmos at the time of presentation and at subsequent follow-up. Nine of the 30 cases underwent s...

Invasive fungal sinusitis of the paranasal sinuses in a healthy immunocompetent person is uncommon. Isolated involvement of any paranasal sinus, particularly sphenoid sinus is rare. In this study, five immunocompetent patients who had no nasal complaints but obscure symptoms of headache and orbital symptoms such as diplopia, retro-orbital pain and loss of vision were diagnosed to be having fulm...

ameloblastomas are slow growing, locally invasive, benign odontogenic tumors of an epithelial origin, accounting for approximately 1% of all oral tumors. a 40-year-old man presented with a chief complaint of a swelling over the left side of his face of 4 years’ duration. on examination, gross facial asymmetry was detected, and a well-defined swelling was noted intraorally involving the left max...

We report the case of a 57-year-old male who presented with recurrent sinus infections and frequent nasal irrigation. He was found at nasal endoscopy to have multiple outgrowths along his ethmoid and maxillary sinuses. Computed tomography (CT) showed multiple bony exostoses along these sinuses. We report the imaging findings of exostoses associated with sinonasal irrigation.

INTRODUCTION Removal of the medial orbital wall and periorbit during endoscopic endonasal procedures for malignant tumors or during endoscopic transorbital procedures for intraorbital tumors may cause transient or permanent diplopia, enophthalmos, and strabismus (Fig. 1). Here, we present a simple technique that prevents these complications and allows for a spontaneous reconstruction of the med...

Secondary enophthalmos caused by an untreated orbital blowout fracture can cause esthetic and functional disturbances. The esthetic defect is manifested by sinking of the superior sulcus and the hypophthalmic globe. Functional impairment of the eye can usually be a common complaint with restriction of eye motion and diplopia. Early diagnosis followed by repair of surgically correctable fracture...

OBJECTIVE To evaluate a new surgical method, using calvarial bone graft combined with a wedge of irradiated homologous costal cartilage, for the revision repair of posttraumatic enophthalmos. METHODS This retrospective study was performed from January 1, 2003, through December 31, 2007. Eight patients were diagnosed as having unilateral posttraumatic enophthalmos. All the patients had previou...

Introduction: Maxillary sinuses are among the largest paranasal sinuses with various shapes and volumes. The dimensions and volumes of maxillary sinuses play an important role in the surgical treatment plan. The higher levels of pneumatization of alveolar bone lead to the increase of odontogenic sinusitis which cause problems in dental implantation. Therefore, this study aimed to evaluate...