近経験した歯副鼻腔炎による動眼神経麻痺,前頭骨骨髄炎並びに眼窩漏斗尖端部症候群症例

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In the first case, of a54 year-old woman, the decompressions-method of fissura orbitalis superior by transethmoidal route was performed after complete pansinectomy. The rhynogenous oculomotor paralysis improved soon after the operation and gradually disappeared.In the second case, of a 14 year-old boy, there wrs osteomyelitis frontalis chron. with orbital phlegmon of dental origin sixteen months after pansinectomy.He was operated three times, In the last successful operation involved osteomyelitic bony tissues of os frontale were extensively removed and the trochlea was asacrificed. It was very lucky there was no subjective double vision two months after operation.In the third case, of a 52 year-old woman, cause of the orbital apex syndrom was not determined about nine months.During pansinectomy a severe necrotic part of the posterior ethmoidal cells near the fissura orbitalis superior was removed. Three months after opsration v.s. 6/60 improved to 6/20 and the paralysis of oculomotor nerve also improved.
社団法人日本耳鼻咽喉科学会の論文