Constans J P, Meder J F, Justiniano P, Michalski M, Fredy D
J Fr Ophtalmol. 1984;7(5):381-4.
Fronto ethmoidal osteoma are rare slow growth benign tumors. Exceptional ophthalmological and neurological complications can occur. The authors report a case of 32 years old man with eye compression by a giant frontal sinus osteoma. This lesion was responsible for a vertical diplopia and moderate proptosis. Plain skull X-Ray show a well defined opacity filling the whole left frontal sinus and C.T. scan delimited precisely orbital extension. Neurosurgical exposure enabled a complete extraction of the tumor and satisfying recovery. The authors have compared this case to those described in literature and insist on the importance of the pre-operative C.T. scan.
额筛窦骨瘤是罕见的生长缓慢的良性肿瘤。可能会出现罕见的眼科和神经科并发症。作者报告了一例32岁男性因巨大额窦骨瘤压迫眼睛的病例。该病变导致垂直性复视和中度眼球突出。头颅平片显示一个边界清晰的不透光区充满整个左侧额窦,CT扫描精确界定了眼眶扩展范围。神经外科手术暴露使得肿瘤得以完全切除,恢复情况良好。作者将此病例与文献中描述的病例进行了比较,并强调术前CT扫描的重要性。