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Nodular fasciitis of the infraorbital rim in an adult patient.

TitleNodular fasciitis of the infraorbital rim in an adult patient.
Publication TypeJournal Article
Year of Publication2004
AuthorsKaragama, Y. G., Karkos P. D., Smelt G. J., & Ali H. H.
JournalRhinology
Volume42
Issue1
Pagination35-7
Date Published2004 Mar
ISSN0300-0729
KeywordsAdult, Fasciitis, Humans, Male, Maxillary Sinus, Orbital Diseases, Paranasal Sinus Diseases, Radiography
Abstract

STATEMENT OF THE PROBLEM: Nodular fasciitis is a fibroblastic proliferation in which nodules develop rapidly. It most commonly affects the extremities followed by the trunk and occasionally the head and neck.
MATERIALS & METHODS: Case report.
RESULTS: A 32-year-old male was seen with a 4-month history of a painless infraorbital mass. On examination, a swelling was palpable anterior to the left infraorbital rim. There was some depression of the left corner of his mouth. Computerized tomography showed soft tissue swelling anterior to the left maxillary antrum which, also, appeared to be diseased. The mass was thought to be malignant owing to the short history, associated facial asymmetry and maxillary sinus opacity. Excisional biopsy was performed. Histology proved it to be nodular fasciitis.
CONCLUSIONS: The importance of otolaryngologists being aware of this entity is stressed. Simple excision, as tissue sparing as possible, is the treatment of choice.

Alternate JournalRhinology
PubMed ID15072032

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