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Kimura disease of naso-orbito-ethmoid region and review of surgical approaches to naso-orbito-ethmoid region
  1. Milind Sagar1,
  2. Prem Sagar1,
  3. Rajeev Kumar1 and
  4. Kavneet Kaur2
  1. 1Otolaryngology & Head Neck Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India
  2. 2Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Prem Sagar; sagardrprem{at}


A man in 30s had complaints of glabellar and upper nasal swelling for 8 years. It was insidious in onset and gradually progressive causing epiphora and restriction of nasal visual field. Fine-needle aspiration cytology and biopsy revealed features which were suggestive of Kimura’s disease (KD). CT scans showed a well-defined subcutaneous swelling in the naso-orbito-ethmoid (NOE) region. KD presents as lymphoglandular swelling; however, NOE region is an uncommon site of occurrence. A thyroid-shaped tumour was excised by H-shaped incision approach to the NOE region.

  • Ear, nose and throat
  • Medical education
  • Head and neck surgery

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: MS, PS and KK. The following authors gave final approval of the manuscript: PS and RK.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.