A CASE OF NON-TRAUMATIC BILATERAL DEHISCENSE OF LAMINA PAPYREACEA
Journal Title: PARIPEX-Indian Journal of Research - Year 2017, Vol 6, Issue 10
Abstract
To report a case of non-traumatic bilateral dehiscence of lamina papyreacea. To radiologically investigate a case of 60 year old female who presented with complaints of repeated history of rhinitis. A 60 year old female presented with complaints of congestion, discharge, sneezing not improved despite of appropriate allergy avoidance measures and intranasal steroids along with complaints of diplopia. Contrast enhanced multislice multidetector computed tomography scan (MDCT) of the paranasal sinus was performed on a 128 multislice machine. Axial, coronal and 3D images were obtained. Unenhanced multiplanar multiecho magnetic resonance imaging (MRI) of the paranasal sinus was performed on a 1.5 Tesla machine. Axial and coronal T1W, T2W FSE and STIR images were obtained. Radiological evaluation revealed; defect in the bilateral lamina papyreacea through which the orbital fat is protruding into the bilateral anterior ethmoidal cells. Dehiscence of lamina papyreacea and herniation of the orbital contents may result from congenital defect of nasofacial trauma, age related factors may also contribute. Iatrogenic injury to lamina papyreacea can occur during surgical procedures or nasal instrumentation. Bilateral defect is most commonly associated with trauma but rarely seen congenitally and can present with any symptoms at any age.
Authors and Affiliations
Rohan Sawant, Zeny Vyas, Nilesh Ingale, Thahir Vu, Madan Manmohan
Keywords
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