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頁籤選單縮合
題名 | 鼻源性眼窩下側之骨膜下膿瘍--病例報告=Rhinogenic Subperiosteal Abscess of Inferior Orbit--Case Report |
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作者 | 翁德星; 蕭振仁; 黃澤人; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷期 | 34:1 民88.01-02 |
頁次 | 頁63-66 |
分類號 | 416.855 |
關鍵詞 | 骨膜下膿瘍; 鼻竇內視鏡手術; B型眼部超音波檢查; Subperiosteal abscess; Endoscopic sinus surgery; B-mode orbital ultrasonography; |
語文 | 中文(Chinese) |
中文摘要 | 鼻源性眼窩骨膜下膿瘍主要發生在小孩,一般多源自於篩竇炎,由上頜竇炎所引 起的眼窩骨膜下膿瘍較為少見。本科於民國87年5月間經歷1名5歲的女性病童,因左側眼皮 紅腫並有眼球突出而至本院求診。B型眼部超音波檢查和電腦斷層掃描證實為眼窩骨膜下膿 瘍。我們採用鼻竇內視鏡手術,經由擴大的上頜竇開口,將眼窩底部的一小部份骨頭移除, 再經由該缺口將眼窩內的骨膜下膿瘍引流。術中以B型眼部超音波進行引流效果的評估,顯 示原先之眼球後膿瘍已消失不見。出院後於門診追蹤至今,復原情形良好。 |
英文摘要 | A 5-year-old girl was admitted to our hospital with a 7-day history of left periorbital swelling and proptosis. B-mode orbital ultrasonography and computed tomography scanning revealed bilateral paranasal sinusitis and an inferior orbital subperiosteal abscess of the left eye. We performed endoscopic sinus surgery to drain the subperiosteal abscess on the third day of admission. During the operation, B-mode orbital ultrasonography was used for evaluating the effect of drainage. Rapid resolution of the signs and symptoms was noted after surgery. The patient recovered quickly and discharged on the third postoperative day. We conclude that an inferior orbital subperiosteal abscess can be drained satisfactorily by using an endoscopic procedure. Additionally, B-mode orbital ultrasonography can provide excellent monitoring for the results of drainage. |
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