鼻内镜及内眦联合进路切除巨大筛窦骨瘤1例

• 作者: 刘天聪 周倩 李婷 李进兴 柴广睿 白伟良 项清华
• 来源期刊: 临床耳鼻咽喉头颈外科杂志
• 学科: 医学
• 关键词: 骨瘤 筛窦 内镜外科手术
• 年，卷（期）: 2017,（24）
• 所属期刊栏目: 病例报告
• 页码范围: 1932-1934
• 页数: 3页
• 分类号: R739.62
• 语种: 中文
• DOI: 10.13201/j.issn.1001-1781.2017.24.016

摘要

Osteomas are slow growing bony tumors of the nasal sinuses.Ethmoid osteomas with orbital extension are unusual.Any surgical approach has to take into account protection of the vital structures,particularly the optic nerve and internal rectus muscle,skull base.A 65 year-old man,without past medical history,was referred to our hospital with a 1-month history of double vision and persisting pain around the left eye.Three-dimensional computed tomography (CT) revealed a large calcified dense mass measuring 32 mm× 25 mm × 25 mm in the left ethmoidal sinus with orbital extension.An endoscopic endonasal approach combined with inner canthus way was planned.Most of the tumor was removed from nasal cavity,the rest part of the tumor was taken out of the inner canthus incision.The medial wall of the orbital cavity was repaired with titanium mesh.No cerebrospinal fluid (CSF) leakage was observed during the procedure.The patient recovered rapidly and had no visual impairment and occular motility disorders after operation.The double vision was alleviated and disappeared after one months.Treatment of large ethmoid osteomas requires a combined approach to prevent injury to the orbital content.The cooperation of both otolaryngologists and ophthalmologists is necessary to achieve risk-free surgery.

作者信息

序号	姓名	单位	发文数	被引次数	H指数	G指数
1	刘天聪		9	20	4.0	4.0
2	李婷		57	299	10.0	14.0
3	白伟良		52	198	8.0	12.0
4	周倩		8	13	2.0	3.0
5	柴广睿		24	113	7.0	9.0
6	项清华		2	2	1.0	1.0
7	李进兴		9	2	1.0	1.0