CAJ | 학술논문

目的：探讨筛窦并眶内骨瘤手术进路的选择，分析各种手术的方法和特点，以提高对该病的认识和诊治水平。方法：报告1例罕见的筛窦并眶内巨大骨瘤患者的临床资料，结合文献对筛窦骨瘤治疗方法进行探讨。结果：本病例在鼻内镜下经鼻入路彻底切除瘤体，术程顺利，病理证实为骨瘤。术后患者恢复良好，视力同前，眼球运动正常，无眶筋膜损伤，无眶内血肿，无眼球内陷，无复视，无溢泪，无脑脊液鼻漏，无鼻塞等并发症。结论：鼻窦骨瘤少见，直径＞30 mm 或质量＞110 g 的突入眶内的巨大骨瘤尤为罕见。随着鼻内镜技术的不断进步和成熟，经鼻入路鼻内镜下筛窦骨瘤的切除术成为首选的手术方式。
목적：탐토사두병광내골류수술진로적선택，분석각충수술적방법화특점，이제고대해병적인식화진치수평。방법：보고1례한견적사두병광내거대골류환자적림상자료，결합문헌대사두골류치료방법진행탐토。결과：본병례재비내경하경비입로철저절제류체，술정순리，병리증실위골류。술후환자회복량호，시력동전，안구운동정상，무광근막손상，무광내혈종，무안구내함，무복시，무일루，무뇌척액비루，무비새등병발증。결론：비두골류소견，직경＞30 mm 혹질량＞110 g 적돌입광내적거대골류우위한견。수착비내경기술적불단진보화성숙，경비입로비내경하사두골류적절제술성위수선적수술방식。
Aim:To investigate the different surgical approach choices for treating ethmoid sinus and orbital osteoma as well as summarize the management and characteristics of each surgical operation in or-der to improve the recognition in the diagnosis and treatment of the disease.Methods:The clinical re-cord of a patient detected giant ethmoid sinus osteoma with orbital extension was reported,and the rele-vant literature was reviewed to analyze the treatment of this disease.Results:The lesion was complete re-moved by a purely endoscopic approach without any damage to neighour structures.Postoperative patholo-gy showed that the tumor was osteoma.The patient recovered well and no significant complications were observed after surgery,such as cerebrospinal fuild (CSF)leakage,diplopia,hypopsia and so on.Con-clusion:Paranasal sinus osteomas are uncommon.An osteoma with a diameter >30 mm or weighing >110 g is considered a giant osteoma which is very rare.It is generally agreed that surgery is the main treatment.