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VOLUME 7 , ISSUE 1 ( January-April, 2015 ) > List of Articles

REVIEW ARTICLE

Management Dilemma in a Challenging Case of Inflammatory Pseudotumor of an Orbitomaxillary Mass: A Review of Literature

Pratik Dipak Shah, Srijon Mukherji

Citation Information : Shah PD, Mukherji S. Management Dilemma in a Challenging Case of Inflammatory Pseudotumor of an Orbitomaxillary Mass: A Review of Literature. Int J Otorhinolaryngol Clin 2015; 7 (1):9-12.

DOI: 10.5005/aijoc-7-1-9

License: CC BY-NC 3.0

Published Online: 01-03-2013

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

Objective

To present management dilemma in a challenging case of a benign orbitomaxillary pseudotumor and its importance of inclusion in the differential diagnosis of orbital disorders.

Design

Case Report

Setting

Private multispecialty hospital in Kolkata, West Bengal.

Patient

A 36-year-old female patient with 1 year history of orbitomaxillary mass, deviation and protrusion of left eyeball, diplopia and left sided headache.

Results

Resection of entire orbitomaxillary mass performed after assessing history, clinical and radiologic presentation of the case. Biopsy report came as mixed inflammatory lesion. Appropriate surgical intervention resulted in a dramatic improvement in patient's clinical condition. At present, patient is disease-free and asymptomatic.

Conclusion

Complete surgical resection is the treatment of choice for inflammatory orbitomaxillary pseudotumors followed by corticosteroids in case of incomplete resection. Radiation therapy is indicated only in case when corticosteroids or surgical intervention is unsuccessful or contraindicated.

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