Unilateral proptosis in ENT practice

ABSTRACT

Seventeen cases of unilateral proptosis aged 11 -54 years are presented. The proptosis was due to mucormycosis in 7, ethmoid polyposis in 4, malignancy in 4, and one each due to Ringert's tumour and fibrous dysplasia. Surgery was performed in all cases with the aim of total extirpation of disease and orbital repositioning. The surgical approaches included transverse maxillary osteotomy, transantral ethmoidectomy, modified lateral rhinotomy, and orbital decompression. There was one fatality, and two recurrences. Three cases showed satisfactory and eleven excellent results: