ABSTRACT
Maxillary sinus mucocele can occur due to many medical factors such as chronic infection, allergic sinonasal disease, trauma, and previous surgery. However, it occurs mainly after Caldwell-Luc operation, usually more than 10 years after surgery. There are a few cases of maxillary sinus mucocele with ocular symptoms. Also, a case causing ocular symptoms because of invasion to the orbital floor is rare. Therefore, we report a case of a 55-year-old male patient who underwent Caldwell-Luc operation about 30 years ago. Then, symptoms such as exophthalmos, diplopia, and visual disturbance developed suddenly 3 months prior to admission. Computed tomography showed a cyst invading the orbital floor which resulted in eyeball deviation. The orbital floor defect measured approximately 2.5×3.3 cm. Maxillary sinus mucocele was removed through an endoscopic approach. After this, we reconstructed the orbital floor through a subciliary incision. Observation was carried out after three years, and ocular symptoms such as diplopia and exophthalmos did not recur.
ABSTRACT
Various surgical techniques have been reported for the correction of congenital ear lobe deformities. Our method, the two-flaps-and-Z-plasty technique, for correcting the longitudinal ear lobe cleft is presented. This technique is simple and easy to perform. It enables us to keep the bulkiness of the ear lobe with minimal tissue sacrifice, and to make a shorter operation scar. The small Z-plasty at the free ear lobe margin avoids notching deformity and makes the shape of the ear lobe smoother. The result is satisfactory in terms of matching the contralateral normal ear lobe in shape and symmetry.
