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复发性额窦炎并发格雷夫斯病眼眶减压术

Recurrent frontal sinusitis complicating orbital decompression in Graves' disease.

作者信息

Lee W C

机构信息

Department of Otolaryngology, North Staffordshire Hospital, Stoke-on-Trent, UK.

出版信息

J Laryngol Otol. 1996 Jul;110(7):670-2. doi: 10.1017/s0022215100134577.

DOI:10.1017/s0022215100134577
PMID:8759544
Abstract

An unusual case of recurrent frontal sinusitis with abscess formation secondary to orbital decompression for Graves' disease is described. The infection was refractory to antibiotics treatment, external drainage and the sinus obliteration procedure. Since the sinus outflow was obstructed by prolapsing tissue following excessive removal of the orbital walls, sinus re-aeration by supporting the prolapsed tissue with a silastic sheet and stenting the sinus drainage tract was attempted. This led to a complete resolution of the infection with an excellent long-term result.

摘要

本文描述了一例因格雷夫斯病眼眶减压继发复发性额窦炎并形成脓肿的罕见病例。该感染对抗生素治疗、外部引流及鼻窦闭塞手术均无效。由于眼眶壁过度切除后脱垂组织阻塞了鼻窦引流,故尝试用硅橡胶片支撑脱垂组织并对鼻窦引流道进行支架置入,以使鼻窦重新通气。这使感染完全消退,长期效果良好。

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引用本文的文献

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Surgical complications in orbital decompression for Graves' orbitopathy.格雷夫斯眼眶病眼眶减压术的手术并发症
Acta Otorhinolaryngol Ital. 2016 Aug;36(4):265-274. doi: 10.14639/0392-100X-1082.
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An abscess causing a delayed optic neuropathy after decompression for thyroid eye disease.一例甲状腺眼病减压术后引起迟发性视神经病变的脓肿。
Orbit. 2014 Feb;33(1):65-7. doi: 10.3109/01676830.2013.842256. Epub 2013 Oct 21.