内镜下修复眶内容击出性骨折伴损伤性视神经病变1例
JOURNAL OF CLINICAL OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY(2009)
Abstract
患者,女,31岁,于2001年5月13日被马踢伤右眼,自觉右眼视力障碍,但不能详述视力损失过程,2 d后由外院转来我院治疗.体检:右眼睑肿胀,眼球向外侧、向下运动受限,光感消失;直接对光反射存在,间接对光反射消失;右鼻腔充满眶脂肪;CT显示:右筛窦、纸样板、眶下壁及中鼻甲骨折,右蝶窦外侧壁轻度骨折移位,显示视神经管内壁骨折,右蝶窦及上颌窦积液.
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