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眶内油脂枪伤:一种治疗困境。

Intraconal grease-gun injury: a therapeutic dilemma.

作者信息

Gekeler Florian, Cruz Antonio A V, de Paula Sheila Andrade, Dos Santos Antonio Carlos, Chahud Fernando

机构信息

University Eye Hospital, Tübingen, Germany.

出版信息

Ophthalmic Plast Reconstr Surg. 2005 Sep;21(5):393-5. doi: 10.1097/01.iop.0000175017.30029.f2.

Abstract

The case of a 31-year-old man with an accidental grease-gun injury to his left orbital region is presented. CT and MRI showed a well-delineated intraconal cyst in the superior aspect of the left orbit surrounded by a significant inflammatory response. The patient was followed for 11 months. Diplopia was not reported at any time, and visual acuity, visual fields, and all other examinations remained normal. Uneventful surgical removal was performed at the patient's request. Histopathologic examination demonstrated a typical picture of lipogranulomatous inflammation. In a review of the accessible literature, only four cases of intraorbital grease-gun injuries were detected; all of them submitted to early surgical removal. We conclude, however, that an intraconal oil/grease cyst can be carefully monitored and--in the absence of symptoms--must not necessarily be removed.

摘要

本文介绍了一名31岁男性因油脂枪意外致左眼眶区域受伤的病例。CT和MRI显示左眼眶上部有一个边界清晰的锥内囊肿,周围有明显的炎症反应。对该患者进行了11个月的随访。患者在任何时候均未报告复视,视力、视野及所有其他检查均保持正常。应患者要求进行了顺利的手术切除。组织病理学检查显示为典型的脂肪肉芽肿性炎症。在查阅可获取的文献时,仅发现4例眼眶内油脂枪损伤病例;所有这些病例均接受了早期手术切除。然而,我们得出结论,锥内油/脂囊肿可以仔细监测,并且在无症状的情况下不一定必须切除。

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