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摘要


慢性鼻竇炎一般多由反覆感染所引起,經由頭顱顏面外傷所引起的病例倒不多見。頭顱顏面外傷所造成鼻竇積血的情形可在數週內藉著黏液纖毛運動所排除;若傷口波及鼻竇開口,將導致慢性鼻竇炎的形成。本院於1994至1995年間,觀察兩例因車禍而導致頭顱顏面外傷的患者,撞擊後造成鼻竇積血的情形,病人於住院期間分併發急性鼻竇炎,經治療後,4側中3側痊癒,另有1側因鼻竇腔壁受創嚴重,造成引流不良,於數月後形成慢性鼻竇炎。

關鍵字

外傷後 頭顱顏面 竇口

並列摘要


Chronic paranasal sinusitis is usually caused by recurrent infection. The case of sinusitis due to craniofacial trauma is rare. Hemosinus due to craniofacial trauma can be resolved by mucociliary clearance within weeks. If the ostium of sinus were traumatized, it might become an etiologic factor of chronic sinusitis. Two cases of craniofacial trauma due to motor vehicle accident were studied at our hospital from 1994 to 1995. Hemosinuses were noted in each case. During hospitalization, they were complicated by acute sinusitis. Three of four sides of sinusitis were cured after management, and one side of sinus due to severe trauma of medial wall gave rise to chronic sinusitis within months.

並列關鍵字

post-traumatic craniofacial ostium of sinus

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