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2019, Number S1

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Cir Cir 2019; 87 (S1)

Rare presentation occult lateral frontal rhinosinusitis with eyelid fistula, ectropion and lagophthalmos. A case report

Vergara-de la Rosa E, Galvez-Olortegui J, Galvez-Olortegui T, Concepción-Urteaga L
Full text How to cite this article

Language: Spanish
References: 6
Page: 77-80
PDF size: 283.16 Kb.


Key words:

Fistula, Eyelids, Frontal sinusitis, Ectropion, Lagophthalmos.

ABSTRACT

We report an unusual case of a 53-year-old male with fistula, ectropion and lagophthalmos due to lateral frontal rhinosinusitis. Two years ago, he presented soft erythematous swelling at internal epicanthus. A year and a half before, he presented upper eyelid fistula secretion drainage, cicatricial ectropion and lagophthalmos. No otorhinolaryngological or visual discomfort was reported. Ophthalmology performed ectropion surgical repair using skin grafting, with no improvement. They requested magnetic resonance imaging which showed a suggestive image of frontal lateral sinusitis, being transferred to the Otorhinolaryngology service. External and endoscopic nasal surgery was performed, which resolved the sinus pathology with good evolution.


REFERENCES

  1. Seyhan T, Ozerdem OR. Upper eyelid fistula caused by chronic frontal sinusitis. J Craniofac Surg. 2005;16(1):171-4.

  2. Rossman D, Verity D, Lund V, Rose G. Eyelid fistula: a feature of occult sinus disease. Orbit. 2007;26(3):159-63.

  3. Bandyopadhyay R, Chatterjee A, Banerjee S, Bandyopadhyay S, Mondol A. Frontal osteomyelitis presenting as upper eyelid ectropion: a cautionary tale. Saudi J Ophthalmol. 2015;29(3):238-41.

  4. Toprak İ, Demir C, Güngen Ş, Sarı T. Bilateral isolated sinopalpebral fistulas secondary to frontal sinusitis. Türk Oftalmoloji Dergisi. 2015;45(2):84–5.

  5. Narendran N, Sandramouli S. A rare presentation of occult sinusitis: upper eyelid fistula. Ophthalmic Surg Lasers Imaging. 2010;42:1-3.

  6. Hahn S, Palmer J, Purkey M, Kennedy D, Chiu A. Indications for external frontal sinus procedures for inflammatory sinus disease. Am J Rhinol Allergy. 2009;23(3):342-7.




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Cir Cir. 2019;87