眼球後血管瘤－病例報告

Retrobulbar Hemangioma – Case Report

吳奇宇(Chyi-Yeu Wu) ； 吳俊良(Jiunn-Liang Wu) ； 林明毅(Ming-Yee Lin) ； 鄭漢春(Hon-Chun Cheng)

《中華民國耳鼻喉科醫學雜誌》 34卷1期 (1999/01) Pp. 84-87

https://doi.org/10.6286/1999.34.1.84

摘要

32歲男性因石顳疼痛、視野缺損、眼球運動受限無法上視、眼球突出等情形，而至成大醫院求診。磁振造影及超音波掃瞄顯示一3 x 2 x 2 cm血管瘤位於右眼窩內。後由耳鼻喉科與眼科醫師，經上頜竇鑿開術（Caldwell-Luc operation），將三分之二的眼窩底骨片去除，再合併上眶切開術（inferior orbitotomy）進入後眼窩，將腫瘤往下推擠，而由上頜竇腔將之摘除。術後視力正常；於門診追蹤至今2年，無任何併發症及復發現象。

關鍵字

眼球後血管瘤 ； 上頜竇鑿開術

並列摘要

Capillary hemangioma is one of the most common tumors of the head and heck in infants but it occurs rarely in adults. The treatment of capillary hemangioma is by either a watchful waiting for its spontaneous regression, intralesional corticosteroid injection, or surgical intervention. Surgery is indicated when there is no evidence of regression of the tumor or the patient experiences a decreasing in visual acuity. We present a case of retrobulbar hemangioma. The patient was a 32-year-old man who complained of right temporal pain, impairment of his visual field, limitation of the upward gaze and proptosis of the right eye. Magnetic resonance imaging and sonography revealed a 3 x 2 x 2 cm tumor in the right retrobulbar space. The tumor was removed using a Caldwell-Luc operation combined with inferior orbitotomy. Since surgery, there have been no visual impairment, no surgical complication, and no sign of recurrence.

並列關鍵字

retrobulbar hemangioma ； Caldwell-Luc operation