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鼻窦内窥镜手术(SES)引起全盲、颅内出血或死亡尚未见报道,作者介绍5例并作讨论。例1.SES术后右眼巩膜出血、睑球结膜水肿、突眼和右眼球内收运动障碍,CT显示右侧纸板和内直肌损伤。经治疗仍留有永久性复视。例2.术后发现双眼失明,虽经治疗视力不能恢复。CT呈双纸板及视神经损伤,左视神经断离。例3.术后有脑脊液性鼻漏。病变标本中发现有神经胶质组织和神经轴索。CT显示双筛板骨缺损,MRI发现额叶脑内小血肿。开
Sinus endoscopic sinus surgery (SES) caused by full blindness, intracranial hemorrhage, or death has not been reported, the authors introduce 5 cases and for discussion. Example 1. Right eye scleral hemorrhage, eyelid conjunctival edema, exophthalmos and right eye adduction disorders after SES. CT showed damage to the medial cartilage and the rectus abdominis. After treatment there is still a permanent diplopia. Example 2. Eyes were blind after surgery, although the vision can not be restored after treatment. CT showed double cardboard and optic nerve injury, left optic nerve off. Example 3. Postoperative cerebrospinal fluid rhinorrhea. Lesions were found in glial tissue and axons. CT showed double-plate bone defect, MRI found that frontal lobe brain hematoma. open