Diseases of the orbit: a multidisciplinary approach
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| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia [u.a.]
Lippincott Williams & Wilkins
2003
|
| Edition: | 2. ed. |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XX, 579 S. zahlr. Ill., graph. Darst. |
| ISBN: | 0781715121 |
Staff View
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| 250 | |a 2. ed. | ||
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Record in the Search Index
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Contents
Preface xvii
Contributing Authors xix
Acknowledgments xxi
PART A. BACKGROUND KNOWLEDGE
1. Structure of the Orbit: Anatomic and Imaging Features 1
Jack Rootman, Robert A. Nugent, and Bruce Stewart
Bony Anatomy .' 1
Plain Films of the Orbits
Periorbita and Septa 7
Orbital Contents 7
Extraocular Muscles
Optic Nerve
Peripheral Nerves
Vascular Anatomy
Arterial supply
Orbital angiography
Venous system
Orbital venography
Cavernous sinus
Contents of Orbital Fissures and Canal
Lacrimal System
Dacryocystography
Lids 23
Surface Anatomy 26
CT and MR Orbital Anatomy 26
Computed Tomography
Normal CT anatomy
Magnetic Resonance Imaging
Normal MRI anatomy
2. Anatomic Patterns of Orbital Disease 35
Jack Rootman
Anterior 36
Ocular 37
Lacrimal 37
Lacrimal Drainage System 37
Myopathic 37
Intraconal 39
Apical 39
Diffuse 39
Periorbital 41
V
vi / Contents
Optic Nerve 41
Summary 41
3. Pathophysiologic Patterns of Orbital Disease 43
Jack Rootman
Inflammation 43
Acute Inflammation
Subacute Inflammation
Chronic Inflammation
Neoplasia 46
Structural Abnormalities: Congenital and Acquired 48 ;
Vascular Lesions 48
Degenerations and Depositions 51
4. Distribution and Differential Diagnosis of Orbital Disease 53
Jack Rootman, Wilma Chang, and Dean Jones s
Distribution of Orbital Disease 54
Distribution by Process
Distribution by Diagnosis
Distribution by Location ;
Distribution by Clinical Presentation
Temporal onset
Clinical process
Symptoms
Orbital Differential Diagnosis 74 ;
Bilateral Proptosis
Pseudoproptosis
Enophthalmos
Dynamic Lesions of the Orbit
Orbital Imaging: Differential Diagnosis
Isolated circumscribed lesions
Cystic lesions
Infiltrative orbital lesions
Lesions of muscle
Destructive lesions of bone
Optic nerve lesions
Orbital lesions with calcification
An Algorithm for Specific Diagnosis
PARTB. PATIENT ENCOUNTER
5. An Approach to Diagnosis 85
Jack Rootman
Pathophysiologic Approach to Clinical Analysis of Orbital Disease 86
Principles
Location of disease
Dynamic alteration
Temporal change
The abnormal process
Examples of Pathophysiologic Approach
Location of disease
Mechanical features
Functional features
Dynamic alteration
The abnormal process
The Patient Encounter 93
Contents / vii
History Taking
Sensory
Motor
Psychophysical
Structural
Vascular
Other
General Inquiry
Physical Examination of the Patient
Differential Diagnosis Analysis Profile 96
6. Confirmatory Investigation of Orbital Disease and Effect on Function . 97
Jack Rootman
Extraocular and Visual Function Examination in Orbital Disease 97
Psychophysical Study
Apical hemangiomas, left orbit
Thyroid orbitopathy
Visual Field Assessment
Involvement of the optic nerve in the orbit
Intracranial and cranial lesions affecting the optic nerve
Oculomotor Examination
Orbital Imaging {by Jack Rootman and Robert A. Nugent) 103
Echography
Computed tomography
' Magnetic resonance imaging (MRI)
Role of MRI versus CT
Vascular studies and procedures
Methods of study of the lacrimal drainage system
Conclusion
Pathologic Assessment 115
Conclusion 118
I PART C. DISEASES OF THE ORBIT
7. The Pathologic Basis of Orbital Disease 121
Valerie A. White and Jack Rootman
Neoplasia 121
Immunohistochemistry
Mesenchymal Neoplasms of the Orbital Soft Tissue and Bone
Mesenchymal neoplasms of orbital soft tissue
Fibrous and fibrohistiocytic neoplasms
Skeletal and smooth muscle neoplasms
Neurogenic and neural crest neoplasms
Vascular neoplasms
Adipose tissue neoplasms
Neoplasms of uncertain histogenesis
Mesenchymal neoplasms of orbital bone
Lymphoproliferative and Leukemic Lesions
B cell lymphomas
Reactive and atypical lymphoid hyperplasia
I T cell lymphoma
j Plasmacytomas
| Hodgkin 's lymphoma
\ Leukemia
1 Benign and Malignant Epithelial Neoplasms of the Orbit
Epithelial neoplasms of the lacrimal gland
viii / Contents
Epithelial neoplasms of the orbital soft tissues
Melanocytic Neoplasms Involving the Orbit
Neoplasms of the Optic Nerve
Congenital and Structural Lesions 146
Congenital
Malformations
Associated with orbital bone and ocular malformations
Vascular
Hamartomas
Vascular
Capillary hemangiomas
Lymphangioma
Cavernous hemangioma
Nonvascular
Cartilaginous hamartoma
Choristomas
Choristomatous cysts
Dermoid cysts
Conjunctiva! dermoid cysts
Other epithelial cysts
Neural
Phakomatous choristoma
Ectopic lacrimal gland
Teratomas
Acquired
Traumatic
Mucoceles
Implantation cysts
Hematic cysts
Nontraumatic
Lacrimal ductal cysts
Infectious
Infectious and Inflammatory Disorders 150
Acute Inflammation
Granulomatous Inflammation
Xanthogranulomatous and Histiocytic Inflammations of the Orbit
Lymphocytic Inflammations of the Orbit
Inflammation of the Orbit Characterized by Fibrosis
Thyroid Orbitopathy 157
Amyloid Depositions
8. Thyroid Orbitopathy 169
Jack Rootman and Peter J. Dolman
Pathogenesis, Pathology, and Pathophysiology 169
Pathogenesis
Pathology
Pathophysiology
Classification and Categorization 172
Clinical Evaluation
General Determinants
Prognostic Determinants in Decision Making
Age, sex, and race
Acuity of onset and severity of disease
What about the relationship between thyroid function and orbitopathy?
Other prognostic determinants
Clinical Features
Contents / ix
Soft tissue features
Myopathy
The crowded orbital apex syndrome—dysthyroid optic neuropathy
Lid malposition and appearance in thyroid orbitopathy
Disease Activity and Severity Determinants 190
Disease Activity
Severity Determinants
Imaging as a Means of Determining Disease Activity and Severity
Management 193
Interventional Criteria
Medical Treatment
Treatment of thyroid disease and prevention of thyroid orbitopathy
Treatment of thyroid orbitopathy
Raised intraocular pressure in thyroid orbitopathy
Surgical Management
Decompression
Myopathy (by Jack Rootman and Christopher J. Lyons)
Lid retraction
Lower lid elevation
' Blepharoplasty
Summary Paradigm for Assessment and Management of Thyroid Orbitopathy
9. Neoplasia 213
Jack Rootman
Neurogenic Tumors 213
Optic Nerve Glioma
Pilocytic (juvenile) astrocytoma
Orbital pilocytic astrocytoma of the optic nerve
' Orbitocranial gliomas
Chiasmal gliomas
Diffuse and bilateral pilocytic astrocytoma
Malignant optic nerve glioma (glioblastoma) of adulthood
Meningiomas
' Histogenesis and growth
Intracranial meningiomas
Optic canal meningiomas
Optic nerve meningiomas
' Other optic nerve tumors
Medulloepitheliomas(neuroepitheliomas)
Secondary and metastatic tumors
Hemangiopericytoma
Nonneoplastic enlargement of the optic nerve
Peripheral Nerve Sheath Tumors
Neurofibromas
The neurofibromatoses
Neurofibromatosis Type 1 (NF1)
Neurofibromatosis Type 2 (NF2)
Plexiform neurofibromas
Solitary (isolated) neurofibromas
Diffuse neurofibromas
Amputation neuromas
Schwannoma (neurilemmoma)
Malignant peripheral nerve sheath tumors
• Rare Tumors of Neuroectodermal Origin
j. Alveolar soft part sarcoma
Granular cell tumor
i
x / Contents
Chemodectoma (paraganglioma)
Primary orbital carcinoid
Neuroepithelial tumors
Neuroepithelioma
Esthesioneuroblastoma (olfactory neuroblastoma)
Primary neuroblastoma and ganglioneuroma
Primary orbital melanoma
Retinal anlage tumor (pigmented retinal choristoma)
Ectomesenchymal tumors
Mesenchymal Tumors 262
Striated Muscle Tumors
Rhabdomyosarcoma
Rhabdoid tumor
Rhabdomyoma
Endodermal sinus tumor
Smooth Muscle Tumors
Leiomyoma
Leiomyosarcoma
Adipose Tumors
Lipoma
Liposarcoma
Fibrous Tissue Tumors
Fibroma
Nodular fasciitis
Fibromatosis
Fibrosarcoma
Solitary fibrous tumor
Epithelioid sarcoma
Congenital and infantile fibrosarcoma
Myxoma
Giant cell angiofibroma
Dermatofibrosarcoma protuberans
Histiocytic Tumors
Fibrous histiocytoma
Primary Bone Tumors of the Orbit {by Jack Rootman and Dinesh Selva) 279
General Considerations
Clinical patterns
Slow progressive noninfiltrative mass effect
Subacute mass effect ± sudden soft tissue displacement
Relentless progression of mass effect ± infiltrative features
Clinicopathological Classification of Major Orbital Bone Tumors
Benign fibro osseous and cartilaginous lesions
Osteoma
Fibrous dysplasia
Ossifying fibroma (fibro osseous dysplasia)
Osteoblastoma
Chondroma
Reactive Lesions
Cholesterol granuloma
Aneurysmal bone cyst
Giant cell granuloma
"Brown tumor" of hyperparathyroidism
Neoplasms
Osteosarcoma
Chondrosarcoma
Mesenchymal chondrosarcoma
Contents / xi
Ewing's sarcoma
Hematopoietic and histiocytic lesions affecting bone
Myeloma
Langerhans cell histiocytosis
Giant cell tumor
Vascular tumors
Intraosseous hemangioma
Miscellaneous
Differential Diagnosis
Conclusion
Secondary Tumors of the Orbit (by Jack Rootman and Steven E. Katz) 304
Neoplasia of the Sinus and Nasopharynx
Epithelial Malignancies of the Sinus and Nasopharynx
Tumors arising from metaplastic epithelium
Squamous cell carcinomas
Transitional carcinomas
Tumors arising from the mucoserous epithelium
Adenoid cystic carcinomas
Adenocarcinomas
Melanomas
Esthesioneuroblastomas
Odontogenic tumors
Neuroendocrine carcinomas
Summary
Extension of Intracranial Tumors
Tumors of bone
Meningeal spread of central nervous system tumors
Orbital Extension of Eyelid Tumors
Basal cell carcinoma of the lid
Squamous cell carcinoma of the lid and adnexa
Sebaceous carcinoma of the ocular adnexa
Malignant melanoma of the skin
Other Adnexal Tumors
Secondary Tumors Arising from the Conjunctiva
Squamous cell carcinoma of the conjunctiva
Malignant melanoma of the conjunctiva
Ocular Extension of Ocular Malignancies
Extrascleral and orbital extension ofuveal melanoma
Orbital extension of retinoblastoma
Orbital Extension of Neuroepithelial Tumors of the Ciliary Body
Medulloepitheliomas
Acquired Neuroepithelial Tumors of the Ciliary Body
Extension from the Lacrimal Sac
Epithelial Tumors
Nonepithelial Tumors
Summary
Orbital Metastases 330
Prevalence, Incidence, and Location
Temporal Characteristics
Clinical Presentation
j Syndromes of Presentation
Diagnostic Pitfalls
\ Diagnosis
I History and clinical examination
] Laboratory tests
| Imaging
xii / Contents
Needle biopsy
Pathologic techniques
Treatment
Radiotherapy
Hormonal therapy
Chemotherapy
Surgery
Metastatic Orbital Tumors in Children
Neuroblastoma
Ewing 's sarcoma
Oncologic Considerations
Metastatic cancer of unknown origin
Summary
Tumors of the Lacrimal Gland (by Jack Rootman, Valerie A. White, and Hind Al Katan). 343
Incidence and Pathophysiology
Epithelial Tumors of the Lacrimal Gland
Classification
Benign epithelial neoplasia
Pleomorphic adenoma
Carcinoma in pleomorphic adenoma
Rare benign tumors of the lacrimal gland
Oncocytoma
Warthin's tumor
Myoepithelioma
Malignant Epithelial Neoplasia
Adenoid cystic carcinoma
Carcinoma ex pleomorphic adenoma
Mucoepidermoid carcinoma
Adenocarcinomas
Adenocarcinoma
Polymorphous low grade adenocarcinoma
Ductal adenocarcinoma
Sebaceous adenocarcinoma
Acinic cell adenocarcinoma
Basal cell adenocarcinoma
Epithelial myoepithelial carcinoma
Benign versus Malignant Epithelial Tumors
10. Lymphoproliferative, Leukemic, and Histiocytic Lesions of the Orbit . 385
Jack Rootman, Valerie A. White, Joseph M. Connors, and
Randy D. Gascoyne
Clinical Spectrum and Presentation 385
Biopsying Techniques 388
Lymphocytic Tumors 388
Reactive Lymphoid Hyperplasia
Indeterminate Lymphoproliferative Lesions
Lymphomas
Pathology and classification
Small B cell lymphomas
Conclusion
Other Lymphomas
Diffuse large B cell lymphomas
Burkitt s lymphoma
T cell lymphomas
Leukemic and Other Lesions 400
Contents / xiii
Granulocytic Sarcoma
Leukemia
Plasma Cell Tumors
Histopathology
Spectrum of orbital plasma cell tumors
Solitary plasma cell tumors
Polyclonal plasma cell tumor
Solitary plasmacytoma
Orbital involvement in multiple myeloma
Hodgkin's Lymphoma
Histiocytoses
Langerhans' Cell Histiocytosis
Histogenesis and pathology
Clinical syndromes
Malignant Histiocytosis
11. Structural Lesions 417
Jack Rootman
. Cystic 417
Conjunctival Epithelial Cysts
Congenital
j Dermoid and epidermoid cysts
[ Superficial dermoid cysts
f Deep dermoid cysts
Conjunctival dermoid cysts
Epidermoid cysts
Miscellaneous epithelial cysts
Acquired cysts
Mucocele
Lacrimal ductal cysts
Implantation cysts
; Neurogenic Cysts
Congenital cystic eye microphthalmos with cyst
\ Orbital cephalocele
Other neurogenic cysts
Tumors andEctopias 435
Dermolipomas
Lacrimal Ectopia
Other Ectopias
Orbital Teratoma
Bony Anomalies and Mesodermal Defects 436
Orbital Asymmetry
Craniofacial Dysostosis and Developmental Anomalies of the Skull
Mesodermal Defects
Trauma 437
Clinical Presentation and Examination
Management of Catastrophic Loss of Vision—Acute Rise in Intraorbital Pressure
Optic Nerve Trauma
Soft Tissue Injury and Orbital Hemorrhage
Fractures of the Orbit
Blow Out fractures
Complex fractures
Orbital apex fractures
Orbital roof fractures
Orbital Foreign Bodies
xiv / Contents
12. Inflammatory Diseases 455
Jack Rootman
Conceptual Model: Definition and Categorization 455
Nonspecific Inflammations of the Orbit 457
Acute and Subacute Nonspecific Myositic Inflammation: Orbital Myositis
Nonspecific Lacrimal Inflammation
Acute and Subacute Nonspecific Anterior and Diffuse Orbital Inflammation
Acute and Subacute Nonspecific Apical Orbital Inflammation
Conclusion
Specific Inflammations of the Orbit 467
Infections and Infestations
Microbial
Orbital Cellulitis and Sinusitis
Other Sources of Microbial Orbital Cellulitis
Contiguous spread
Other contiguous infections
Orbital foreign bodies
Pyemic cellulitis
Intraorbital sources of cellulitis
Fungus infections
Rhino orbital Mucormycosis
Aspergillosis
Other Mycotic Infections
Tuberculosis and syphilis
Parasitic infestations
Echinococcosis (hydatid cyst)
Cysticercosis
Trichinosis
Other parasitoses
Other infestations
Other (Specific) Inflammations of the Orbit 481
Vasculitis (Angiitides)
Wegener 's granulomatosis
Other respiratory vasculitides
Polyarteritis nodosa (periarteritis nodosa)
Hypersensitivity (leucocytoclastic) angiitis
Orbital vasculitis
Vasculitis associated with connective tissue disorders
Cogan's syndrome
Temporal arteritis
Idiopathic Sclerosing Inflammations of the Orbit
Granulomatous Inflammations
Foreign body granuloma
Sarcoid and sarcoidal reactions
Xanthogranulomatous disorders of the orbit
Fibro osseous processes
Idiopathic lipogranuloma
Melkersson Rosenthal syndrome
Transitional Lesions
Kimura 's disease
Sjogren 's syndrome
Sinus histiocytosis with massive lymphadenopathy (Rosai Dorfinan s disease)
Castleman 's disease
Guide to Analysis of Noninfectious Inflammations 499
f
Contents / xv
13. Vascular Lesions 507
Jack Rootman, Tom R. Marotta, and Douglas A. Graeb
Conceptual Model 507
Malformations 509
Arteriovenous Malformations
High flow lesions
Low flow malformations
Cavernous hemangiomas
Cavernous hemangioma of bone
Venous Vascular Malformations
Venous anomalies
Distensible venous vascular malformations
Nondistensible venous vascular malformations
Lymphatic and Combined Venous Lymphatic Vascular Malformations
Superficial lesions
Deep lesions
Combined and complex lesions
Other Congenital Vascular Malformations
Sturge Weber syndrome
Hereditary hemorrhagic telangiectasia (Osier Weber Rendu syndrome)
Wyburn Mason syndrome
Klippel Trenaunay syndrome
Acquired Arteriovenous Shunts (Dural Carotid Cavernous Fistulas) 532
Anatomy and Classification
Pathogenesis and Hemodynamics
New Growths 539
Hamartomas
Capillary hemangioma
Deep infantile hemangioma
Superficial infantile hemangioma
Combined infantile hemangioma
Neoplasia
Hemangiopericytoma
Malignant hemangioendothelioma: angiosarcoma
Kaposi 's sarcoma
Vascular leiomyoma (angiomyoma)
Epithelioid hemangioendothelioma
Aneurysms 547
Thrombotic Lesions 547
Unclassified Spontaneous and Post traumatic Orbital Hemorrhages 547
14. Degenerations and Depositions 555
Jack Rootman
Degenerations 555
Orbital Atrophy
Abiotrophies
Depositions 558
Orbital Amyloid Deposition
Subject Index 565 |
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| spelling | Diseases of the orbit a multidisciplinary approach Jack Rootman 2. ed. Philadelphia [u.a.] Lippincott Williams & Wilkins 2003 XX, 579 S. zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Oogkassen gtt Ziekten gtt Eye-sockets Diseases Orbital Diseases Augenhöhlenkrankheit (DE-588)4303389-1 gnd rswk-swf Augenhöhlenkrankheit (DE-588)4303389-1 s DE-604 Rootman, Jack Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010213341&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Diseases of the orbit a multidisciplinary approach Oogkassen gtt Ziekten gtt Eye-sockets Diseases Orbital Diseases Augenhöhlenkrankheit (DE-588)4303389-1 gnd |
| subject_GND | (DE-588)4303389-1 |
| title | Diseases of the orbit a multidisciplinary approach |
| title_auth | Diseases of the orbit a multidisciplinary approach |
| title_exact_search | Diseases of the orbit a multidisciplinary approach |
| title_full | Diseases of the orbit a multidisciplinary approach Jack Rootman |
| title_fullStr | Diseases of the orbit a multidisciplinary approach Jack Rootman |
| title_full_unstemmed | Diseases of the orbit a multidisciplinary approach Jack Rootman |
| title_short | Diseases of the orbit |
| title_sort | diseases of the orbit a multidisciplinary approach |
| title_sub | a multidisciplinary approach |
| topic | Oogkassen gtt Ziekten gtt Eye-sockets Diseases Orbital Diseases Augenhöhlenkrankheit (DE-588)4303389-1 gnd |
| topic_facet | Oogkassen Ziekten Eye-sockets Diseases Orbital Diseases Augenhöhlenkrankheit |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010213341&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT rootmanjack diseasesoftheorbitamultidisciplinaryapproach |