耳鼻咽喉科領域における眼球突出:副鼻腔嚢腫症例を中心に

概要

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Forty-three cases of unilateral exophthalmus met in our clinic between 1962 and 1971 were investigated statistically. In these cases, cyst of the paranasal sinuses, especially that of the frontal and/or ethmoidal sinus, was the most frequent cause of exophthalmus: thirty-one cases had cysts of the paranasal sinuses. Malignant tumors were relatively rare in our cases. Twenty cases of cysts of the paranasal sinuses were examined ophthalmologically, and visual lesion was found in 70% of the cases and 65% of the cases presented retinal lesions. Fundiscopic examination revealed retinal striae in six and retinal amotio in five cases, which resulted from the cyst. After the sinus operation, the visual lesion and the retinal lesions were improved in most cases. In treating cyst of the paranasal sinus, surgical removal of the cyst has been generally regarded as the best way. In some cases, however, it is a better method to open the cyst to the nasal cavity without removing the cystic wall and with remaining a drainage tube in the cystic cavity. The importance of careful observations of eye symptom and of early treatment of the causative disease was emphasized.
耳鼻と臨床会の論文