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鼻窦手术后的药物性瞳孔扩大。

Pharmacological pupil dilatation after sinus surgery.

机构信息

ENT, Leicester Royal Infirmary, Leicester, UK

Ophthalmology, Leicester Royal Infirmary, Leicester, UK.

出版信息

BMJ Case Rep. 2021 Jan 18;14(1):e236666. doi: 10.1136/bcr-2020-236666.

DOI:10.1136/bcr-2020-236666
PMID:33461998
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7813333/
Abstract

Orbital complications after endoscopic sinus surgery are serious problems. Inadvertent contamination of the eye by pharmacological solution can lead to early postoperative anxiety to patients and high concern to surgeons. This is a rare case report of retrograde epinephrine flow through lacrimal duct in sinus surgery with learning tips during postoperative assessment for reassurance in temporary pharmacological effect rather than serious complication.

摘要

鼻窦内窥镜手术后的眼眶并发症是严重的问题。药物溶液无意中污染眼睛可导致患者术后早期焦虑和外科医生高度关注。这是鼻窦手术中通过泪小管逆行肾上腺素流的罕见病例报告，术后评估时可学习提示以确保暂时的药理作用而不是严重并发症。

相似文献

1
Pharmacological pupil dilatation after sinus surgery.鼻窦手术后的药物性瞳孔扩大。
BMJ Case Rep. 2021 Jan 18;14(1):e236666. doi: 10.1136/bcr-2020-236666.
2
Dilated pupil during endoscopic sinus surgery: what does it mean?
Am J Rhinol. 2001 Jan-Feb;15(1):31-3. doi: 10.2500/105065801781329392.
3
Dacryocystography after paranasal sinus surgery.鼻窦手术后的泪囊造影术。
Br J Radiol. 1988 May;61(725):362-5. doi: 10.1259/0007-1285-61-725-362.
4
Intraoperative dilated pupil during nasal polypectomy.鼻息肉切除术中的术中瞳孔散大。
Eur Arch Otorhinolaryngol. 2009 Jul;266(7):1035-7. doi: 10.1007/s00405-008-0781-y. Epub 2008 Aug 8.
5
[Orbital complication in endoscopic sinus surgery: a case report].[内镜鼻窦手术中的眼眶并发症：一例报告]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Jul;28(14):1082-4.
6
Orbital complications of paranasal sinus surgery.
Ophthalmic Plast Reconstr Surg. 1986;2(3):119-27. doi: 10.1097/00002341-198601060-00001.
7
Radiological evaluation of lacrimal apparatus injury after functional endoscopic sinus surgery.功能性鼻窦内窥镜手术后泪器损伤的放射学评价。
J Laryngol Otol. 2021 Mar;135(3):229-233. doi: 10.1017/S0022215121000384. Epub 2021 Mar 1.
8
[Complications of endoscopic sinus surgery].[鼻内镜鼻窦手术的并发症]
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1993;28(5):284-6, 314.
9
Concentrated topical epinephrine is safe in endoscopic sinus surgery.局部浓肾上腺素在鼻内镜鼻窦手术中是安全的。
Am J Rhinol Allergy. 2010 Mar-Apr;24(2):140-2. doi: 10.2500/ajra.2010.24.3454.
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Outcomes and Complications with Topical Epinephrine in Endoscopic Sinus Surgery: A Systematic Review and Meta-analysis.内镜鼻窦手术中局部使用肾上腺素的结果和并发症：系统评价和荟萃分析。
Otolaryngol Head Neck Surg. 2020 Sep;163(3):410-417. doi: 10.1177/0194599820915478. Epub 2020 Apr 14.

本文引用的文献

1
Eponymous "valves" of the nasolacrimal drainage apparatus. I. A historical review.鼻泪引流装置的同名“瓣膜”。I. 历史回顾。
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Maintenance of mydriasis with one bolus of epinephrine injection during phacoemulsification.在超声乳化手术期间通过单次注射肾上腺素维持瞳孔散大。
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6
Dilated pupil during endoscopic sinus surgery: what does it mean?
Am J Rhinol. 2001 Jan-Feb;15(1):31-3. doi: 10.2500/105065801781329392.
7
Unilateral mydriasis after nasal reconstruction surgery.鼻再造手术后单侧瞳孔散大。
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Interpretation of the dilated pupil during endoscopic sinus surgery.
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Prolonged unilateral mydriasis after nasotracheal intubation.
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