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July 1969

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Arch Otolaryngol. 1969;90(1):108-111. doi:10.1001/archotol.1969.00770030110022

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PATHOLOGIC QUIZ CASE 1  John A. Kirchner, MD, New Haven, ConnA 4-year-old boy was well until ten months ago when his right eye began protruding. The proptosis increased without nasal obstruction, pain, visual disturbance, or other associated symptoms.There was a prominence of the right maxilla with displacement of the right eye upwards. A smooth and nontender firm mass could be palpated in the buccal sulcus. No trisumus was present. The cheek was freely movable over the mass and showed no discoloration or induration. There was no bruit or thrill and there was good motion and good visual acuity in each eye. The eustachian tube was clear and there were no enlarged nodes in the neck.X-ray films showed an expanded right antrum, probably three times normal size, with a thin shell of bone around the periphery. There was no fluid level or bone destruction.The mass was approached

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