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黏液囊肿的两种异常定位:临床表现及回顾性分析

Two anomalous localizations of mucocele: clinical presentation and retrospective review.

作者信息

Cavazza S, Bocciolini C, Laudadio P, Tassinari G, Dall'Olio D

机构信息

Department of Ophthalmology, Maggiore Hospital, Bologna, Italy.

出版信息

Acta Otorhinolaryngol Ital. 2007 Aug;27(4):208-11.

Abstract

Two Caucasian males (57 and 70 years old) were referred to our attention with parasinus mucoceles, maxillary and frontal mucocele, respectively, that had eroded the orbital rim and caused swelling of the eyelids and brow. Invasion of the orbital space caused several ophthalmic symptoms such as diplopia, proptosis, ptosis, and the formation of a palpable mass. Ophthalmic involvement was the first sign of the mucocele. The mucoceles were completely excised through a skin incision and the diseased mucosa of the sinuses was removed: endonasal fibre optic surgery and the Caldwell-Luc procedure were used in the patient with maxillary mucocele. The cases are described with retrospective review.

摘要

两名白种男性(分别为57岁和70岁)因鼻窦黏液囊肿前来就诊,其中一名患有上颌窦黏液囊肿,另一名患有额窦黏液囊肿,二者均侵蚀了眶缘并导致眼睑和眉部肿胀。眼眶间隙受侵引发了多种眼部症状,如复视、眼球突出、上睑下垂以及可触及肿块的形成。眼部受累是黏液囊肿的首发症状。通过皮肤切口将黏液囊肿完全切除,并去除鼻窦的病变黏膜:对于上颌窦黏液囊肿患者,采用了鼻内纤维光学手术和柯-陆氏手术。通过回顾性分析对病例进行了描述。

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