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題 名 | 應用功能性內視鏡鼻竇手術於眼窩骨膜下膿瘍之引流--病例報告=Application of Functional Endoscopic Sinus Surgery for Drainage of Orbital Subperiosteal Abscess--A Case Report |
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作 者 | 張晉源; 陳永煌; 袁本治; | 書刊名 | 國防醫學 |
卷 期 | 31:2 2000.08[民89.08] |
頁 次 | 頁103-107 |
專 輯 | 耳鼻喉科急症專輯 |
分類號 | 416.855 |
關鍵詞 | 眼窩骨膜下膿瘍; 功能性內視鏡鼻竇手術; 引流; Orbital subperiosteal abscess; Functional endoscopic sinus surgery; Drainage; |
語 文 | 中文(Chinese) |
中文摘要 | 眼窩骨膜下膿瘍是兒童鼻竇炎最常見的眼眶併發症之一,如不能迅速診斷治療,常危急病患視力或生命。臨床上一旦懷疑為此病症或經由放射診斷確定時,應積極進行治療。以往大都採用鼻外篩竇切除術(external ethmoidectomy)來作眼窩骨膜下膿瘍之引流。本科於民國88年6月經驗1名24歲男性病人,因右眼凸出及嚴重右眼腫病、發燒而至本院眼科求診。治療後症狀未改善,急會診本科後,懷疑為急性鼻竇炎合併眼眶併發症,電腦斷層攝影也證實為鼻竇炎併發眼窩骨膜下膿瘍。緊急施行功能性內視鏡鼻竇手術合併除去篩竇紙板後,眼部外觀及視力恢復極佳,至今無復發。這種手術方法的優點包括減少顏面疤痕及術後復原迅速,已經逐漸取代傳統之鼻外篩竇切除術。 |
英文摘要 | Orbital subperiosteal abscess is the most common serious orbital complication of pediatric sinusitis. When it is confirmed by radiograph or strongly suspected from clinical findings, most authors recommend drainage via an external ethmoidectomy traditionally. A 24 year-old male patient came to ur clinic with the presentation of right eye protrusion with tenderness and fever for several days. Because the symptoms persisted after two days' medical treatment of OPH section, so he was transferred to our ENT section. Orbital CT scan revealed a right orbital subperiosteal abscess formation and characteristic bilateral parasinusitis. Impaired vision of right eye was also noted. Under the impression of sinogenic orbital infection with visual compromise, emergent surgical drainage by way of functional endoscopic sinus surgery (FESS) was done immediately. Post-operative recovery is rapid and satisfying. Potential advantages include avoidance of a scar and more rapid resolution of signs and symptoms. The postoperative hospitalization may be shorter in patients treated with endoscopic drainage than undergone opening drainage. |
本系統中英文摘要資訊取自各篇刊載內容。