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題 名 | 巨大之副鼻竇骨纖維性發育不良--病例報告=Huge Fibrous Dysplasia of the Paranasal Sinuses--Case Report |
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作 者 | 郭士彰; 蘇志英; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷 期 | 32:6 1997.12[民86.12] |
頁 次 | 頁113-117 |
分類號 | 416.871 |
關鍵詞 | 副鼻竇; 纖維性發育不良症; Paranasal sinus; Fibrous dysplasia; |
語 文 | 中文(Chinese) |
中文摘要 | 骨骼的纖維發育不良症( fibrous dysplasia )乃是一種罕見的良性疾病,其病 變骨會被無血管性的異常纖維取代,若發生在副鼻竇骨可導致鼻塞、臉部畸形、眼睛移位、 視力受損甚至顱骨侵蝕。治療以手術切除為主。本科於民國 85 年 3 月經歷 1 名 11 歲男 孩,主訴左側鼻塞、左眼視力逐漸模糊及有複視現象。門診檢查發現左鼻腔內有一灰白色光 滑腫塊。鼻竇電腦斷層攝影可見一巨大腫瘤佔據左上頜竇、篩竇與蝶竇,並壓迫視神經。病 理切片報告為骨纖維性發育不良。於是施行側鼻切開術進入副鼻竇將腫瘤摘除並減壓視神經 ,最後取肋骨及前臂之自由皮瓣重建顏面部。病人術後情況穩定,複視現象改善,視力亦已 恢復。 |
英文摘要 | Fibrous dysplasia is a benign disorder in which normal bone is replaced by abnormal fibrous tissue. When the paranasal sinus is involved, it will lead to nasal obstruction, facial deformity, occular proposis, visual impairment, and even cranial bone invasion. Surgery is the main-stay of treatment. We experienced a case of huge fibrous dysplasia of left paranasal sinuses in 1996. All 11 year-old boy had suffered from left nasal obstruction since 2 years ago, and had progressive diplopia and visual impariment in recent months. A gray whitish tumor with smooth surface was found in left nasal cavity. Computered tomography of the sinuses revealed that left maxillary sinus, ethmoid sinus, and sphenoid sinus were occupied by a huge homogenous tumor. Optic nerve was also compressed. Operations by left lateral rhinotomy and medial maxillectomy were performed to enter paranasal sinuses with removal of tumor and decompression of optic nerve. Then the orbital and facial bone were reconstructed with a rib and a free forearm flap. The postoperative course was unevenful, with resolution of diplopia and improvement of visual acuity. |
本系統中英文摘要資訊取自各篇刊載內容。