Otorhinolaryngological causes of proptosis and their sequelae in an eye clinic in Osogbo, south west Nigeria
Keywords:
Otolaryngological causes, proptosis, visual impairmentAbstract
This was a one year descriptive-cases-series of proptosis presenting to a tertiary eye clinic between January to December 2011. Socio- demographic data were obtained. Subjects aged between 41/2 years to 75 years who had proptosis referred from the Otorhinolaryngology clinics were examined. Visual acuities, clinical examination of the anterior and posterior segment of the eye, ocular alignment and systemic examination were done. Otorhinolaringologists' findings, laboratory results, radio diagnostic tests, and previous surgical intervention were noted. The major causes of proptosis were due to malignancy (66%) followed by infections and cystic lesions in equal proportions. Half of the subjects who developed visual impairment had improvement in vision and improved facial symmetry after appropriate treatments were instituted. Cases of strabismus were also corrected.
Co-management is here demonstrated to give the best cosmetic and visual outcome.
References
Kanski JJ. Disorders of the Orbit.In: Clinical
Ophthalmology A systemic Approach.
Butterworth Heineman: New Delhi; 1999: 553
Dunmade AD, Ademola-Popoola DS. Neuroophthalmic manifestation of nasopharyngeal carcinoma at Ilorin: a five year review. Niger J Clin Pract. 2008 ; 11(4):376-8.
Martinson FD, Odeku EL. The problem of unilateral proptosis in Nigeria. Int Surg. 1969; 51(1):20-9.
Char DH. Management of orbital tumours.
Mayo Clinic proceedings 1993; 68(11):168196.
Balasubramanian T. Complications of sinusitis [Internet]. Version 10. Ent Scholar. 2013 Feb 1.
A v a i l a b l e f r o m :
http://entscholar.wordpress.com/article/compl ications-of-sinusitis/. Accessed 10th October 2013.
Osguthorpe and Hoehman Otolaryngol
Clinics, N. America 1993; 26(4): 657-71.
Sinha V, Bhardwaj D, George A, Memon RA.
Proptosis through eyes of ENT surgeon. Indian J Otolaryngol Head & Neck surgery 2005; 57(3): 207-9.
Akinsola FB, Somefun AO, Oguntoyinbo
OS.Ophthalmological complications of nasal, paranasal sinus diseases and head and neck tumours. East Afr Med J. 2006 ;83(12):674-8.
Venugopal M, Sagesh M. Proptosis: The ENT Surgeon's Perspective. Indian Journal of
Otolaryngology and Head & Neck Surgery
; 65(2 Suppl): 247-250
Mohan H, Sen D K. Uncommon sinus lesions as a cause of proptosis. Indian J Ophthalmol 1971;19:18-23.
Ajaiyeoba A, Kokong D, Onakoya A.
Clinicopathologic, ophthalmic, visual profiles and management of mucoceles in blacks. J Natl Med Assoc. 2006; 98(1):63-6.
Aziz B, GHORI SM, Rashid A, Hameed A.
Frequency of Improvement of Proptosis for an Underlying Fronto-Ethmoidal Disease after Lynch Procedure. Available from httpwww. p j m h s o n l i n e . c o m / O c t D e c 2 0 1 2 / frequency_of_improvement_of_propt.
Accessed 11th September 2013.
Sahin C, Durmaz A, , Uysal Y, Tosun
F.Ophthalmic complications of paranasal sinus mucoceles. 2010; 20(5):232-6.
Ide R, Mizoue T, Fujino Y, Hoshiyama Y, Sakata K, Tamakoshi A, Yoshimura T; JACC Study Group.Cigarette smoking, alcohol drinking, and oral and pharyngeal cancer mortality in Japan. Oral Dis. 2008;14(4):314-9
Hakeem O L, Aderemi A A. Traditional open surgery for advanced benign nasal tumours: review of 38 cases. Afr J Health Sci 2007;14:44-48.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Research Journal of Health Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Research Journal of Health Sciences journal is a peer reviewed, Open Access journal. The Journal subscribed to terms and conditions of Open Access publication. Articles are distributed under the terms of Creative Commons License (CC BY-NC-ND 4.0). (http://creativecommons.org/licences/by-nc-nd/4.0). All articles are made freely accessible for everyone to read, download, copy and distribute as long as appropriate credit is given and the new creations are licensed under the identical terms.