Pourdanesh Fereydoun, Mohamadi Mansoureh, Khojasteh Arash, Nayebi Alireza, Sharifi Reza, Yaghmaei Masoud
Department of Oral and Maxillofacial Surgery, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Craniofac Surg. 2013 Jan;24(1):e33-6. doi: 10.1097/SCS.0b013e3182688db9.
A 33-year-old lady was referred to the Department of Oral and Maxillofacial Surgery of Taleghani hospital in 2008. She complained of firm swelling on the left side of her face with toothache, lacrimation, and nasal stiffness. There was a large mass in the left maxillary sinus with extension to the orbital floor, nasal bone, ethmoid sinus, and infratemporal fossa. The incisional biopsy revealed a neurofibroma of the maxilla. She underwent hemimaxillectomy and simultaneous reconstruction with temporalis-coronoid flap for orbital floor reconstruction. After 2 months' follow-up with no complication, she complained of left globe upward movement during gum chewing. The orbital and visual examinations were otherwise normal. This unusual complication has continued for 4 years with no resolution, although the patient does not worry about it any more.
2008年，一名33岁女性被转诊至塔莱加尼医院口腔颌面外科。她主诉左侧面部有质地坚硬的肿胀，并伴有牙痛、流泪和鼻僵。左上颌窦有一个大肿块，已延伸至眶底、鼻骨、筛窦和颞下窝。切开活检显示为上颌骨神经纤维瘤。她接受了半侧上颌骨切除术，并同时采用颞肌-喙突瓣进行眶底重建。经过2个月的随访，未出现并发症，但她主诉在咀嚼口香糖时左眼向上移动。眼部和视力检查其他方面均正常。这种不寻常的并发症持续了4年仍未缓解，不过患者已不再为此担忧。
