Endoscopic Management of Orbital Abscess -Case Report

應用鼻竇內視鏡治療眼窩內膿瘍 － 病例報告

李仲毅(Chung-Yi Lee) ； 吳志修(Chih-Hsiu Wu) ； 周介仁(Jieh-Ren Jou) ； 沈宗憲(Tzung-Shiahn Sheen)

《慈濟醫學雜誌》 11卷1期 (1999/03) Pp. 83-86

https://doi.org/10.6440/TZUCMJ.199903.0083

摘要

近年來，使用鼻竇內視鏡治療眼窩內骨膜下膿瘍已逐漸形成一種趨勢，因為相較於從前由臉部切開引流的作法，不但效果相同且術後局部腫脹較少，住院日數縮短，更無外部傷痕。本病例報告為六十歲女性糖尿病患者，因急性鼻竇炎併發眼窩內膿瘍，出現眼肌麻痺、眼球外突與視力逐漸變壞，經由鼻竇內視鏡手術引流加上靜脈抗生素注射治療後，視力及眼球運動皆恢復如昔。目前少有使用鼻竇內視鏡治療眼窩內膿瘍的文獻報告，特提出此偏病例報告證明鼻竇內視鏡是治療眼窩內膿瘍的另一種選擇。

關鍵字

眼窩內骨膜下膿瘍 ； 眼窩內膿瘍 ； 鼻竇內視鏡手術

並列摘要

The endoscopic approach has become the preferred surgical procedure for drainage of subperiosteal orbital abscesses (SPAs) in recent years because it is as effective as the external approach but with less postoperative edema, a shorter hospitalization and no external incision. This case report presents the extended application of endoscopic management of orbital abscess complicating from acute bacterial sinusitis. A female patient had progressed periorbital swelling, ophthalmoplegia and impending blindness in spite of parenteral antibiotic therapy. She underwent endoscopic drainage of her orbital abscess. She had full recovery of visual acuity four months after surgery and full eye ball movement six months after surgery.

並列關鍵字

subperiosteal orbital abscess ； orbital abscess ； endoscopic sinus surgery