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失明作为皮下注射鼻用类固醇的一种并发症。

Blindness as a complication of subcutaneous nasal steroid injection.

作者信息

Shafir R, Cohen M, Gur E

机构信息

Department of Plastic and Reconstructive Surgery, Tel-Aviv Sourasky Medical Center, the Sackler Faculty of Medicine, Tel-Aviv University, Israel.

出版信息

Plast Reconstr Surg. 1999 Sep;104(4):1180-2; discussion 1183-4.

PMID:10654762
Abstract

Blindness as a result of steroid injection into areas adjacent to the eyes, namely the interior of the nose and eyelids, has been described in the otolaryngologic and ophthalmologic literature but at no time in the plastic surgery literature. We describe a case of permanent visual loss at the time of injection of a long-acting steroid to the dorsum of the nose for postrhinoplasty scarring. We suggest that before steroid injection for elective procedures, the patient be informed of all possible consequences of complications even if their occurrence is very rare.

摘要

因在眼睛附近区域(即鼻腔内部和眼睑)注射类固醇而导致失明的情况,在耳鼻喉科和眼科文献中已有记载,但整形外科文献中从未提及。我们描述了一例在为鼻整形术后瘢痕向鼻背部注射长效类固醇时导致永久性视力丧失的病例。我们建议,在为择期手术注射类固醇之前,应告知患者所有可能出现的并发症后果,即便其发生几率极低。

相似文献

1
Blindness as a complication of subcutaneous nasal steroid injection.失明作为皮下注射鼻用类固醇的一种并发症。
Plast Reconstr Surg. 1999 Sep;104(4):1180-2; discussion 1183-4.
2
Retinal and choroidal embolization following soft-tissue maxillary injection of corticosteroids.
Can J Ophthalmol. 1995 Oct;30(6):321-3.
3
Steroid use in rhinoplasty: an objective assessment of postoperative edema.隆鼻术中类固醇的使用:术后水肿的客观评估
Ear Nose Throat J. 1998 Jan;77(1):40-3.
4
Blindness secondary to steroid injections into the nasal turbinates.因向鼻甲注射类固醇继发的失明。
Arch Ophthalmol. 1979 Jan;97(1):79-80. doi: 10.1001/archopht.1979.01020010019004.
5
Transient hypercorticism after epidural steroid injection. A case report.
J Bone Joint Surg Am. 1984 Sep;66(7):1115-6.
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Retinal and choroidal embolization after intranasal injection of triamcinolone acetate.鼻内注射醋酸曲安奈德后视网膜和脉络膜栓塞
Retina. 2013 Jun;33(6):1281-3. doi: 10.1097/IAE.0b013e3182877b70.
7
Polyuria and polydipsia following an intra-articular steroid injection.关节内注射类固醇后出现多尿和烦渴。
Eur J Intern Med. 2009 May;20(3):e75. doi: 10.1016/j.ejim.2008.09.007. Epub 2008 Nov 5.
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Necrotizing conjunctival ulceration following subconjunctival depot methylprednisolone injection.结膜下注射长效甲基强的松龙后发生的坏死性结膜溃疡
Ophthalmic Surg Lasers. 1999 Jul-Aug;30(7):565-6.
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Intranasal steroid injections and blindness: our personal experience and a review of the past 60 years.
Laryngoscope. 2015 Apr;125(4):796-800. doi: 10.1002/lary.25000. Epub 2014 Nov 6.
10
Mucous cysts of the nose: a postrhinoplasty complication?: a long-term follow-up.鼻黏液囊肿:鼻整形术后的并发症?一项长期随访研究
Ann Plast Surg. 2010 Apr;64(4):381-4. doi: 10.1097/SAP.0b013e3181b142ba.

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