牙源性上颌窦分隔感染致眶蜂窝织炎1例  

Orbital cellulitis secondary to odontogenic superior maxillary sinus septum infection: a case report

作　　者：孙玲 熊玉平 刘美婵 胡君 彭昌福[1] Sun Ling;Xiong Yuping;Liu Meichan;Hu Jun;Peng Changfu(Hunan Provincial People′s Hospital,First Affiliated Hospital of Hunan Normal University,Changsha 410005,China)

机构地区：[1]湖南省人民医院湖南师范大学附属第一医院眼科,长沙410005

出　　处：《中华眼科杂志》2022年第11期917-919,共3页Chinese Journal of Ophthalmology

摘　　要：1例66岁的女性患者表现为右眼反复眼红肿疼痛, 5个月前有右上第二磨牙拔牙史, 4个月前有多次右侧颌面部脓肿切开引流史。眼眶CT提示右侧上颌窦、眼眶下部眶下孔处骨膜下窦腔形成伴积液脓肿形成。诊断为"牙源性上颌窦分隔感染致眶蜂窝织"。先后行"眼部脓肿切开引流"术及"右眼眶脓肿清除引流+鼻内镜下上颌骨内壁部分切除+上颌窦分隔引流+上颌窦开放"术。术后患者症状体征明显改善。A 66-year-old woman presented with recurrent erythema,swelling and pain in her right eye.She had a history of extraction of the right upper second molar 5 months ago with subsequent development of an abscess which was incised and drained 4 months ago.Orbital CT scan revealed the formation of subperiosteal sinus cavity with an abscess in the right maxillary sinus and infraorbital foramen.The diagnosis was orbital honeycombing caused by odontogenic maxillary sinus septum infection.Utilizing the anterior lacrimal recess approach under nasal endoscope,incision and drainage of ocular abscess and debridement and drainage of right orbital abscess plus partial resection of the inner wall of the jaw were performed successfully with maxillary sinus septal drainage and maxillary sinus opening.The patient improved significantly after the operation.

关 键 词：眼眶蜂窝织炎 上颌窦炎 拔牙 手术后并发症 

分 类 号：R777.5[医药卫生—眼科]