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題名 | Endoscopic Sinus Surgery for Solitary Abducens Palsy in Patients with Isolated Sphenoid Sinus Disease: Report of Four Cases=以內視鏡鼻竇手術治療源自孤立性蝶竇疾病之單獨的外展神經麻痺:四例報告 |
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作者姓名(中文) | 李立昂; 李達人; 黃啟哲; | 書刊名 | 長庚醫學 |
卷期 | 25:10 2002.10[民91.10] |
頁次 | 頁689-694 |
分類號 | 416.854 |
關鍵詞 | 孤立性蝶竇病變; 外展神經麻痺; 內視鏡鼻竇手術; Isolated sphenoid sinus disease; Abducens palsy; Endoscopic sinus surgery; |
語文 | 英文(English) |
中文摘要 | 源自孤立性蝶竇疾病之單獨的外展神經麻痺是罕見的,並且及早處理是重要的。並沒有文獻報告以內視鏡鼻竇手術治療導因於孤立性蝶竇疾病的較長期之外展神經麻痺的結果。我們報告4例病患於1995年至2000年接受內視鏡鼻竇手術治療孤立性蝶竇疾病併單獨的外展神經麻痺。病人接受內視鏡鼻竇手術與複視出現的時間間隔大於96小時(範圍,4天到42個月)。其中,3個蝶竇病變為麴菌感染及2個為發炎所造成。有3位病人的外展神經麻痺經過內科及外科的治療4至17個月後完全恢復且沒有手術併發症生生。以內視鏡鼻竇手術來處理孤立性蝶竇疾病併外展神經麻痺是一個安全及有效的治療。外展神經麻痺的復原是緩慢且漸進的。而動眼機能的進步可視為復原的一個早期徵象。 |
英文摘要 | Solitary abducens palsy secondary to isolated sphenoid sinus disease (ISSD) is rare and early management is important. There is no report regarding the results of endoscopic sinus surgery (ESS) for prolonged abducens palsy due to ISSD. We present four cases of ISSD with solitary abducens palsy that received ESS from 1995 through 2000. The interval between onset of diplopia and ESS was longer than 96 hours (range, 4 days to 42 months). The sphenoid lesions were caused by Aspergillosis in two patients and inflammation in two. Three patients recovered completely from abducens palsy after 4-17 months and had no surgical complications. In conclusion, ESS is a safe and effective treatment for ISSD with abducens palsy. Recovery from abducens palsy is slow and progressive. Improvement of extraocular movement is an early sign of recovery. |
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