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脂肪肉芽肿:泪囊鼻腔吻合术的一种可预防并发症。

Lipogranuloma: a preventable complication of dacryocystorhinostomy.

作者信息

Kerendian J, Conn H

机构信息

Department of Ophthalmology, White Memorial Medical Center, Los Angeles, CA 90033, USA.

出版信息

Ophthalmic Surg Lasers. 1996 Aug;27(8):713-5.

PMID:8858639
Abstract

This report describes the unusual occurrence of lipogranuloma at the incision site of dacryocys-torhinostomy. Four patients had soft cystic masses after external dacryocystorhinostomy for acquired nasolacrimal duct obstruction. This was attributed to the antibiotic ointment vehicle that coated the petroleum jelly-impregnated gauze placed intranasally to prevent epistaxis. Postoperatively, all four patients had an encapsulated cystic mass within 3 weeks. Three of the masses were excised under local anesthesia and one was aspirated. None of the masses recurred.

摘要

本报告描述了泪囊鼻腔吻合术切口部位出现脂性肉芽肿这一罕见情况。4例因后天性鼻泪管阻塞接受外路泪囊鼻腔吻合术的患者术后出现了柔软的囊性肿物。这归因于涂覆在鼻腔内用于预防鼻出血的凡士林浸渍纱布上的抗生素软膏载体。术后,所有4例患者均在3周内出现了一个包膜完整的囊性肿物。其中3个肿物在局部麻醉下切除,1个进行了抽吸。所有肿物均未复发。

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引用本文的文献

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BMJ Case Rep. 2015 Mar 6;2015:bcr2014208093. doi: 10.1136/bcr-2014-208093.
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Post-external dacryocystorhinostomy lagophthalmos.外路泪囊鼻腔吻合术后兔眼症
Int Ophthalmol. 2015 Jun;35(3):375-9. doi: 10.1007/s10792-014-9957-1. Epub 2014 Jun 7.
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Head Neck Pathol. 2012 Jun;6(2):270-4. doi: 10.1007/s12105-011-0310-y. Epub 2011 Nov 30.