期刊简介
本杂志是由中华人民共和国卫生主管，同济医科大学附属协和医院主办，国内外公开发行的学术性期刊，1996年被评为全国优秀期刊。辟有专家论坛、临床研究、实验研究、技术与方法、研究报告、综述、进修苑、学术争鸣、经验介绍及病例报告等多个栏目。
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首页>临床耳鼻咽喉头颈外科杂志
- 杂志名称：临床耳鼻咽喉头颈外科杂志
- 主管单位：中华人民共和国教育部
- 主办单位：华中科技大学同济医学院附属协和医院
- 国际刊号：1001-1781
- 国内刊号：42-1764/R
- 出版周期：半月刊
期刊荣誉：第二届国家期刊奖提名奖期刊收录：万方收录(中), 维普收录(中), 国家图书馆馆藏, 知网收录(中), 上海图书馆馆藏, CA 化学文摘(美), 文摘与引文数据库, 北大核心期刊(中国人文社会科学核心期刊), 统计源核心期刊(中国科技论文核心期刊), JST 日本科学技术振兴机构数据库(日)
鼻内镜及内眦联合进路切除巨大筛窦骨瘤1例
白伟良；柴广睿；周倩；李进兴；项清华；李婷；刘天聪
关键词：骨瘤, 筛窦, 内镜外科手术
摘要：Osteomas are slow growing bony tumors of the nasal sinuses.Ethmoid osteomas with orbital extension are unusual.Any surgical approach has to take into account protection of the vital structures,particularly the optic nerve and internal rectus muscle,skull base.A 65 year-old man,without past medical history,was referred to our hospital with a 1-month history of double vision and persisting pain around the left eye.Three-dimensional computed tomography (CT) revealed a large calcified dense mass measuring 32 mm× 25 mm × 25 mm in the left ethmoidal sinus with orbital extension.An endoscopic endonasal approach combined with inner canthus way was planned.Most of the tumor was removed from nasal cavity,the rest part of the tumor was taken out of the inner canthus incision.The medial wall of the orbital cavity was repaired with titanium mesh.No cerebrospinal fluid (CSF) leakage was observed during the procedure.The patient recovered rapidly and had no visual impairment and occular motility disorders after operation.The double vision was alleviated and disappeared after one months.Treatment of large ethmoid osteomas requires a combined approach to prevent injury to the orbital content.The cooperation of both otolaryngologists and ophthalmologists is necessary to achieve risk-free surgery.
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