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부비동염 및 비용종을 동반한 안와내벽 외향골절의 내시경적 치료 3예
정태영,위재운,권재환 대한이비인후과학회 2012 대한이비인후과학회지 두경부외과학 Vol.55 No.4
The most possible complication of transnasal reconstruction of medial orbital wall fracture is infection of the dependent sinuses. As a result, endoscopic reduction in a medial blowout fracture with sinusitis and nasal polyp has been avoided. The silastic sheet and Merocel packing, which are placed in the ethmoid sinus, may cause or worsen sinusitis since they could cover up the natural ostia in the vicinity of sinuses. The spread of infection into the orbital wall and the difficulty of recognizing between herniated orbital tissues, infection and nasal polyp makes it difficult to perform endoscopic reduction when there are concomitant sinusitis and nasal polyp. The author reports three recently encountered cases of endoscopic reduction of medial blowout fracture with sinusitis and nasal polyp.
추체골염을 동반하지 않는 급성 유양돌기염에 의한 외전신경마비 1예
정태영,김영호,권재환 대한이비인후과학회 부산,울산,경남 지부회 2010 임상이비인후과 Vol.21 No.1
A 29-month-old boy presented with acute onset of esodeviation and limitation of ocular movement in his right eye. He had a history of right otitis media for 6 weeks, was diagnosed as abducens nerve palsy. Ventilation tube insertion was done after the eye symptom developed. t first day after surgery, esotropia of 30 prism diopters (PD) and abduction limitation (-4) was still obseved in the right eye due to abducens nerve palsy of the right side. A computed tomography of the temporal bone and magnetic resonance imaging of the brain showed severe mastoiditis without involvement of the abducens nerve pathway including petrous bone. At 6 days after onset of esotropia, simple mastoidectomy was done. An esotropia was improved gradually and at 4 months after surgery, orthotropia and normal ocular movement were acquired. We report a rare case of abducens nerve palsy presumed to be complicated by septic thrombosis of inferior petrosal sinus from mastoiditis without petrous apicitis.