鼻内镜下取出眶内及泪囊异物1例  

Transnasal endoscopic removal of lacrimal sac and intraorbital foreign body

作　　者：胡静[1] 毛永军[1] 王锋[1] 柴亮[1] 汪审清[1] 

机构地区：[1]浙江大学医学院附属第一医院耳鼻咽喉科,杭州310003

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第20期1617-1619,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：1病例报告 患者,女,43岁,于2011年6月14日上午用电锯锯木板时,被飞溅的铁钉击中鼻背,因感鼻背部胀痛于我科急诊。体检：一般情况好,神清,精神可,鼻背部皮肤稍红肿,正中偏右可见两处点状破损,伴有点状出血点,未扪及明显塌陷及隆起,鼻外形正常,双鼻黏膜无充血红肿,鼻腔内未见异物,咽稍充血,双扁桃体不大,眼睑及眶周皮肤正常,双眼视力无明显变化,双眼球运动自如,球结膜无充血。We reported a case of a work-related accident involving periorbital and intraorbital metal foreign bodies.The patient was a 43-year-old woman whose nasal dorsum was struck while she was sawing wood with nails.X-ray plain films of skull bone and computed tomographic scan of nasal sinus revealed two 5-mm-long metal objects lodged in right lacrimal sac and medial bulbar space of the right orbit.No deficits were noted in her visual acuities,visual fields,and ocular movements.Based on accurate positioning by imaging examination,transnasal endoscopic removal of metal foreign bodies was successfully accomplished.The patient recovered well without any complications after surgery.

关 键 词：眶内异物 泪囊 内镜检查 

分 类 号：R777.2[医药卫生—眼科]