内直肌机械性受限的诊断难题：一例报告
Diagnostic dilemmas of mechanical restriction of the medial rectus: A case report.
作者信息
Gallogly James A, Faraji Farhoud, Jumaily Mejd H, Schneider John S, Brunworth Joseph D
机构信息
Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, Saint Louis, Missouri.
No funding sources supported research.
出版信息
Allergy Rhinol (Providence). 2018 Apr 12;9:2152656718764231. doi: 10.1177/2152656718764231. eCollection 2018 Jan-Dec.
BACKGROUND
Due to the proximity of the maxillary sinus and ethmoid sinuses to the orbit, inflammatory processes that originate in the sinonasal region have the potential to extend into the orbit.
OBJECTIVE
We presented a case of ptosis and restrictive strabismus of the medial rectus muscle.
METHODS
A case report with a literature review of possible diagnoses.
RESULTS
Biopsy, imaging, and laboratory evaluation by otolaryngology, ophthalmology, and rheumatology services were unable to identify the cause of the fibrosis after 22 months of follow-up. A response to oral steroids indicated an inflammatory process.
CONCLUSION
Unilateral mechanical restriction of the medial rectus muscle is a rare complication of nasal disease. Inflammatory processes and iatrogenic injury are known to cause fibrosis of surrounding tissue. We presented a unique case of medial rectus fibrosis that did not meet the diagnostic criteria of recognized etiologies.
背景
由于上颌窦和筛窦靠近眼眶，起源于鼻旁窦区域的炎症过程有可能蔓延至眼眶。
目的
我们报告一例上睑下垂及内直肌限制性斜视病例。
方法
病例报告并对可能的诊断进行文献综述。
结果
经过22个月的随访，耳鼻喉科、眼科和风湿病科进行的活检、影像学及实验室评估均未能确定纤维化的病因。对口服类固醇药物的反应提示存在炎症过程。
结论
内直肌单侧机械性受限是鼻部疾病的一种罕见并发症。已知炎症过程和医源性损伤可导致周围组织纤维化。我们报告了一例独特的内直肌纤维化病例，该病例不符合已公认病因的诊断标准。
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