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Off-Center Fold
Dec 2012

A Nodule on the Upper Eyelid—Diagnosis

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD; LORI D. PROK, MD

Arch Dermatol. 2012;148(12):1412. doi:10.1001/archderm.148.12.1412-d

Histopathologic examination showed fragments of skin and superficial dermis with no tumor. There was a chronic inflammatory cell infiltrate comprising numerous plasma cells and occasional neutrophil polymorphs.

Computed tomography showed localized severe left maxillary and left frontal sinus opacification with hyperostotic bony changes. The medial aspect of the orbital was defective, creating a large open communication between the frontal sinus and the orbit. The patient subsequently underwent an endoscopic frontal sinus exploration with median drainage and interval closure of the fistula site.

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