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由骨蜡残留引起的慢性、症状性眶内炎症。

Chronic, Symptomatic Orbital Inflammation Resulting From Retained Bone Wax.

机构信息

Institute of Ophthalmology and Visual Science, Rutgers New Jersey Medical School.

Department of Pathology, Rutgers New Jersey Medical School, Newark, New Jersey, U.S.A.

出版信息

Ophthalmic Plast Reconstr Surg. 2019 Nov/Dec;35(6):e147-e148. doi: 10.1097/IOP.0000000000001471.

DOI:10.1097/IOP.0000000000001471
PMID:31593040
Abstract

A 58-year-old man presented with a 9-month history of a chronically draining surgical wound and low-grade periorbital inflammation following a right lateral orbitotomy. Imaging of the right orbit revealed a peculiar lesion in the right lateral orbit that was hypointense on both T1- and T2-weighted MRI with peripheral enhancement. Exploratory orbitotomy and biopsy established the diagnosis of a chronic foreign body inflammatory reaction to bone wax; symptoms resolved following evacuation of the retained foreign material.A 58-year-old man developed a chronic, symptomatic, inflammatory reaction to bone wax following a lateral orbitotomy; only once previously has symptomatic orbital inflammation following orbital surgery as a result of bone wax been reported.

摘要

一位 58 岁男性,因右侧外侧眶切开术后 9 个月慢性引流性手术伤口和轻度眶周炎症就诊。右侧眶部影像学检查显示右侧外侧眶内有一特殊病变,T1 和 T2 加权 MRI 均呈低信号,周边增强。经眶切开探查和活检确诊为骨蜡引起的慢性异物炎症反应;清除残留异物后症状缓解。一位 58 岁男性在外侧眶切开术后发生骨蜡慢性、有症状、炎症反应;此前仅有一次报告过因骨蜡引起的眶内手术后眶内炎症的症状。

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