Orbit

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Metastases of systemic malignancies to the orbit: a major review

Edward J. Wladis, Katherine W. Lee & Tipu Nazeer

doi : 10.1080/01676830.2020.1759110

Orbit, Volume 40, Issue 2 (2021), Pages: 93-97

Due to improved survival durations and enhanced surveillance modalities, metastases of systemic malignancies to the orbit are increasing. This review is intended to discuss the epidemiologic, clinical, and management features of orbital metastases.

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Radiological findings of orbital blowout fractures: a review

Ma ReginaPaula Valencia, Hidetaka Miyazaki, Makoto Ito, Kunihiro Nishimura, Hirohiko Kakizaki & Yasuhiro Takahashi

doi : 10.1080/01676830.2020.1744670

Orbit, Volume 40, Issue 2 (2021), Pages: 98-109

To summarize the radiological findings in patients with orbital blowout fractures.

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Which factors impact on quality of life for adults with blepharospasm and hemifacial spasm?

Sadie Lawes-Wickwar, Hayley McBain, Shashivadan P. Hirani, Catherine S. Hurt, Nicola Dunlop, Dianne Solly, Bridget Crampton, Stanton P. Newman & Daniel G. Ezra

doi : 10.1080/01676830.2020.1733028

Orbit, Volume 40, Issue 2 (2021), Pages: 110-119

Benign essential blepharospasm (BEB) and hemifacial spasm (HFS) are debilitating conditions causing spasms to the eyes and/or face and can significantly impact on quality of life (QoL). Initial research has highlighted potential factors impacting on QoL in BEB, but there remains a wealth of demographic, clinical, and psychosocial factors that may contribute to QoL but have not received attention.

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Accelerated growth of orbital schwannomas during pregnancy does not correlate with sex hormone- or growth factor receptor status

G. J. H?tte, N. Meijer, R. M. Verdijk & D. Paridaens

doi : 10.1080/01676830.2020.1747498

Orbit, Volume 40, Issue 2 (2021), Pages: 120-126

Until now, three cases of growth of an orbital schwannoma during pregnancy have been published. We aim to provide additional insight in the effect of pregnancy on orbital schwannomas.

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Primary orbital polymethylmethacrylate implant following primary enucleation for retinoblastoma: a study of 321 cases

Shikha Taneja, Tariq Aldoais & Swathi Kaliki

doi : 10.1080/01676830.2020.1750040

Orbit, Volume 40, Issue 2 (2021), Pages: 127-132

To evaluate the outcome of primary orbital polymethylmethacrylate (PMMA) implant following the primary enucleation for retinoblastoma.

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Clinical correlation recommended: accuracy of clinician versus radiologic interpretation of the imaging of orbital lesions

Colin Bacorn, Kimberly K. Gokoffski & Lily Koo Lin

doi : 10.1080/01676830.2020.1752742

Orbit, Volume 40, Issue 2 (2021), Pages: 133-137

To assess the accuracy of radiographic interpretation between the clinician and radiologist when compared to histopathology of orbital lesions.

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Porcine dermal matrix sandwich graft for lower eyelid reconstruction

Philip L. Custer & Robi N. Maamari

doi : 10.1080/01676830.2020.1755316

Orbit, Volume 40, Issue 2 (2021), Pages: 138-144

To report the clinical outcomes of porcine acellular dermal matrix implants sandwiched between skin and conjunctival flaps for lower eyelid reconstruction following Mohs surgery.

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Frontal osteoplastic flap without frontal sinus obliteration for orbital roof decompression

Matthew Kim, Marc Otten, Michael Kazim & David A. Gudis

doi : 10.1080/01676830.2020.1757126

Orbit, Volume 40, Issue 2 (2021), Pages: 145-149

We describe a novel surgical approach for bilateral orbital roof decompression using a frontal osteoplastic flap without frontal sinus obliteration. This technique utilizes a combined external and endonasal endoscopic approach for wide exposure to the orbital roof bilaterally. We demonstrate this technique for the resection of a massive frontal fibrous dysplasia lesion in a healthy male with bilateral orbital roof involvement. The endonasal endoscopic portion of the technique includes a Draf III frontal sinusotomy (endoscopic modified Lothrop procedure) which precludes the need for frontal sinus obliteration, restores normal frontal sinus function, and allows for postoperative endoscopic surveillance.

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Delayed periorbital hemorrhage in oculoplastic surgery patients on oral anticoagulants

Lilly H. Wagner, Elizabeth A. Bradley, Isaiah Giese, Viraj J. Mehta & Stuart R. Seiff

doi : 10.1080/01676830.2020.1752744

Orbit, Volume 40, Issue 2 (2021), Pages: 150-154

Periorbital hemorrhage is a potentially sight threatening surgical complication. The effect of new oral anticoagulants (NOACs) on hemorrhagic events after periorbital surgery has not been investigated. We describe four cases of severe delayed postoperative hemorrhage associated with NOACs, in addition to three cases in patients on traditional antithrombotic agents. Time of delayed hemorrhage ranged from postoperative day 2 to 6. Six patients required surgical intervention to achieve control of bleeding, and two patients required transfusion of blood products. Risk factors and management of this rare complication are discussed.

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Orbito-scleral-sinus invasion of basal cell carcinoma in an immunocompromised patient on vismodegib

Ann Q. Tran, Carissa L. Patete, Nathan W. Blessing, Andrew J. Rong, Armando L. Garcia, Sander Dubovy & David T. Tse

doi : 10.1080/01676830.2020.1753783

Orbit, Volume 40, Issue 2 (2021), Pages: 155-158

A 45-year-old man presented with a progressively enlarging left lower lateral eyelid lesion. The initial biopsy was inconclusive; however, a repeat biopsy 5 years later revealed infiltrative morpheaform basal cell carcinoma with sclerosis. Two years later, the patient presented with ophthalmoplegia of the left eye. Computed tomography illustrated a heterogeneous enhancing soft tissue mass in the inferolateral orbit with erosion into the globe.

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Lacrimal drainage system anomalies in Williams-Beuren syndrome

Mohammad Javed Ali

doi : 10.1080/01676830.2020.1755317

Orbit, Volume 40, Issue 2 (2021), Pages: 159-161

Williams-Beuren syndrome is a rare multi-system disorder affecting 1:10000 to 1:20000 live-births. The cause is de novo contiguous gene deletion on the long arm of chromosome 7 (7q11.23). It typically manifests with dysmorphic facies and predominantly involves the connective tissues, cardiovascular and nervous systems. The published literature reveals that lacrimal drainage anomalies are exceptionally rare and not much is known of those reported. The present case describes multiple lacrimal drainage anomalies in a child with Williams-Beuren syndrome.

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Progressive proptosis secondary to pneumosinus dilatans of the ethmoidal sinus in a pediatric patient

Rebeca Rosés S?iz, Elsa Font Julià, Félix Garc?a Ortega & Cristina Pi?ero Cutillas

doi : 10.1080/01676830.2020.1757125

Orbit, Volume 40, Issue 2 (2021), Pages: 162-166

Pneumosinus dilatans (PD) is a rare disorder of unknown etiology which consists of an abnormal dilatation of one or more paranasal air sinuses without radiological evidence of localized mucous membrane alterations, hyperostosis, or bony erosion. Sinus walls are therefore of normal thickness. The enlargement of the bone may be generalized or focal, and apart from the aesthetic problem it carries, it is important to bear in mind the possible functional consequences it may imply.

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