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以瓦尔萨尔瓦动作诱发眼眶气肿为表现的鼻眶骨瘤

Nasoorbital Osteoma Presenting as Valsalva-Induced Orbital Emphysema.

作者信息

Heymann Hans B, Thompson Christopher F, Lissner Gary S, Kern Robert C

机构信息

*Department of Ophthalmology and †Department of Otolaryngology and Head & Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, U.S.A.

出版信息

Ophthalmic Plast Reconstr Surg. 2017 May-Jun;33(3S Suppl 1):S106-S107. doi: 10.1097/IOP.0000000000000602.

DOI:10.1097/IOP.0000000000000602
PMID:26669293
Abstract

An 18-year-old female athlete with a history of multiple traumatic concussions presented with complaints of recurrent bouts of right periorbital swelling that arose with Valsalva maneuvers such as nose-blowing or sneezing. The swelling resolved over hours to days. A CT scan of the sinuses revealed an osteoma originating from the right ethmoid roof involving the frontal recess and projecting into the orbit. She underwent excision of the osteoma via endoscopic transnasal and transcaruncular anterior orbitotomy approaches without complication.

摘要

一名有多次创伤性脑震荡病史的18岁女运动员,主诉在进行诸如擤鼻或打喷嚏等瓦尔萨尔瓦动作时,右眼周反复出现肿胀。肿胀在数小时至数天内消退。鼻窦CT扫描显示,一个骨瘤起源于右侧筛窦顶部,累及额隐窝并突入眼眶。她通过内镜经鼻和经泪阜前眼眶切开术切除了骨瘤,未出现并发症。

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