{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T00:23:40Z","timestamp":1700007820928},"reference-count":80,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Hintergrund Aufgrund der unmittelbaren N\u00e4he zum visuellen System stellen intraorbitale Raumforderungen eine Bedrohung f\u00fcr den Patienten und eine besondere Herausforderung f\u00fcr jede in Diagnostik und Therapie involvierte Fachdisziplin dar.<\/jats:p><jats:p>Material\/Methoden Narratives Review mit Diskussion von relevanten Originalarbeiten und Expertenempfehlungen. Zur Veranschaulichung beschreiben wir den Fall eines 71-j\u00e4hrigen Patienten, der 3 Monate nach einer Nasennebenh\u00f6hlenoperation in unserer Abteilung aufgenommen wurde. Ein postoperatives intraorbitales H\u00e4matom der rechten Orbita war extern konservativ mit Antibiotika\/Kortikosteroiden behandelt worden, was zu einem nahezu vollst\u00e4ndigen einseitigen Sehverlust gef\u00fchrt hatte. Die folglich durchgef\u00fchrte Orbita- und Optikusdekompression verhinderte nicht die Bildung eines intraorbitalen Lipogranuloms. Gegenw\u00e4rtig werden die damit verbundenen rezidivierenden Entz\u00fcndungsphasen erfolgreich konservativ auf der Grundlage multidisziplin\u00e4rer Empfehlungen behandelt.<\/jats:p><jats:p>Ergebnisse In dem berichteten Fall m\u00fcndete eine verz\u00f6gerte Orbita- und Optikusdekompression bei retrobulb\u00e4rem H\u00e4matom nach Nasennebenh\u00f6hlenoperation in der Bildung eines intraorbitalen Lipogranuloms. Die Literatur unterst\u00fctzt unsere Empfehlung einer sofortigen chirurgischen Intervention im Falle eines akuten retrobulb\u00e4ren H\u00e4matoms. Neben akuten Zust\u00e4nden k\u00f6nnen intraorbitale Raumforderungen Zeichen systemischer Erkrankungen sein. In jedem Fall ist ein multidisziplin\u00e4rer Therapieansatz f\u00fcr ein ad\u00e4quates Management erforderlich.<\/jats:p><jats:p>Schlussfolgerung Intraorbitale Raumforderungen k\u00f6nnen u.a. als akute Komplikation nach Nasennebenh\u00f6hlenoperationen auftreten oder Zeichen maligner Entartung und chronischer Erkrankungen sein. Differenzialdiagnostische Kenntnisse zu intraorbitalen Raumforderungen sind daher f\u00fcr jede im Kopf-Hals-Bereich t\u00e4tige Fachdisziplin unerl\u00e4sslich.<\/jats:p>","DOI":"10.1055\/a-1580-7371","type":"journal-article","created":{"date-parts":[[2021,12,16]],"date-time":"2021-12-16T00:55:38Z","timestamp":1639616138000},"page":"390-398","source":"Crossref","is-referenced-by-count":0,"title":["Differentialdiagnostik intraorbitaler Raumforderungen \u2013 eine \u00dcbersicht"],"prefix":"10.1055","volume":"101","author":[{"given":"Frederic","family":"Jungbauer","sequence":"additional","affiliation":[{"name":"HNO, Universitatsklinikum Mannheim, Mannheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Gvaramia","sequence":"additional","affiliation":[{"name":"HNO, Universitatsklinikum Mannheim, Mannheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lena","family":"Huber","sequence":"additional","affiliation":[{"name":"HNO, Universitatsklinikum Mannheim, Mannheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedikt","family":"Kramer","sequence":"additional","affiliation":[{"name":"HNO, Universitatsklinikum Mannheim, Mannheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina A.","family":"Ponto","sequence":"additional","affiliation":[{"name":"Universit\u00e4ts-Augenklinik, Universit\u00e4tsklinikum Mainz, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zoran","family":"Popovic","sequence":"additional","affiliation":[{"name":"Pathologisches Institut Mannheim, Universit\u00e4tsklinikum Mannheim, Mannheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Riffel","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr 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