Braich Puneet S, Silbert Jonathan E, Levada Andrew J, Schiff Neil R
Department of Surgery, Saint Mary's Hospital, Waterbury, CT, USA.
Ear Nose Throat J. 2014 Feb;93(2):77-9.
An otherwise healthy 13-month-old girl was noted by her pediatrician to have developed a left head turn. The patient was referred to a pediatric ophthalmologist, who noticed signs of incomplete third cranial nerve palsy. Magnetic resonance imaging revealed the presence of an abnormal lesion in the inferonasal orbit that was abutting the ethmoid sinus. After consultation with an ENT specialist, the decision was made to remove the lesion via functional endoscopic sinus surgery because this approach was deemed to provide adequate access while limiting morbidity. Histology of the excised lesion identified it as true ectopic lacrimal gland tissue with cysts. We recognize and comment on the fact that in many reported cases of ectopic lacrimal gland cyst, the tissue was not ectopic at all but instead represented an extension of normal lacrimal gland tissue.
一位原本健康的13个月大女童被儿科医生注意到出现了向左转头的情况。该患者被转诊至儿科眼科医生处，后者发现了不完全性动眼神经麻痹的体征。磁共振成像显示在鼻下眼眶有一个异常病变，紧邻筛窦。在咨询了耳鼻喉科专家后，决定通过功能性内窥镜鼻窦手术切除该病变，因为这种方法被认为在限制发病率的同时能提供足够的手术入路。切除病变的组织学检查确定其为伴有囊肿的真性异位泪腺组织。我们认识到并评论这样一个事实，即在许多报道的异位泪腺囊肿病例中，组织根本不是异位的，而是正常泪腺组织的延伸。
