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Orbital apex syndrome in a child

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

A 8-year-old male presented with visual loss, diplopia, ptosis, pain behind the left eye, facial numbness and vomiting of one week duration. The ophthalmological, neurological and radiological examination showed a lesion of the left orbital apex with extension into the cavernous sinus. Examination of the nose and paranasal sinuses did not reveal any abnormality. Transnasal Endoscopic orbital decompression was performed and inflamed granulation tissue found in the orbital apex was removed. Microbiology showed fungal elements which on culture grew Aspergillosis flavus. Antifungal therapy with new generation oral drug (voriconazole) resulted in complete resolution of symptoms. Relevant literature is reviewed and discussed.

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Authors and Affiliations

  1. Dept of ENT, Head and Neck Surgery, Sri Ramachandra Medical College and Research Institute (DU), Porur, Chennai, 600 116, India

    Vivek Sasindran, A. Ravikumar &  Senthil

Authors
  1. Vivek Sasindran
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  2. A. Ravikumar
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  3. Senthil
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Corresponding author

Correspondence to A. Ravikumar.

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Sasindran, V., Ravikumar, A. & Senthil Orbital apex syndrome in a child. Indian J Otolaryngol Head Neck S 60, 62–65 (2008). https://doi.org/10.1007/s12070-008-0020-2

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  • DOI: https://doi.org/10.1007/s12070-008-0020-2

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