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October 1965

Unilateral Exophthalmos

Author Affiliations

From the Department of Surgery (Otolaryngology), University of Colorado Medical Center, resident in otolaryngology.

Arch Otolaryngol. 1965;82(4):415-424. doi:10.1001/archotol.1965.00760010417017

THERE are few more perplexing problems in clinical medicine than gradually progressive unilateral exophthalmos. The evaluation and differential diagnosis is difficult and demands close cooperation among various specialists.

Recent experience at the University of Colorado Medical Center with four such cases has prompted a review of the recent literature and the formulation of a systematic diagnostic approach to the problem.

Report of Cases  Case 1.—A 22-year-old hospital attendant was admitted to Colorado General Hospital on Feb 22, 1963, with a ten-year history of gradually progressive outward and downward displacement of the left eye, which he attributed to a mule kick. A diagnosis of orbital or intracranial neoplasm was made, although a mucocele of the frontal sinus was considered a possibility.On Feb 26, 1963, a left frontal craniotomy was performed by the neurosurgery service, and a very large mucocele of the frontal sinus was found. Orbital decompression and exenteration of

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