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April 1, 1899, Vol XXXII, No. 13 >
ARTICLE | April 1, 1899

MUCOCELE OF THE ETHMOIDAL CELLS SIMULATING AN ORBITAL TUMOR.

F. C. HOTZ, M. D.
JAMA. 1899;XXXII(13):703. doi:10.1001/jama.1899.92450400021002c.
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ABSTRACT

If, in the course of an inflammation of the ethmoidal cells, the secretions can not be discharged into the nasal cavity because the natural outlets are blocked up, the imprisoned fluid will after a while begin to exert considerable pressure upon the bony walls and cause them to expand. The very thin orbital wall of these cells is especially apt to yield to this high pressure and to form a round, slowly-growing tumor behind the inner canthus of the eyelids, which causes more or less marked displacement of the eyeball. In some of these cases the cystoid nature of the tumefaction was readily revealed by fluctuation; but in some instances the tumor appeared so firm and hard that in the absence of fluctuation it was mistaken for a solid neoplasm and preparations were made for its extirpation. An exploratory incision into the exposed tumor of course revealed its true nature.

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