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안와이소를 동반한 전두사골동 점액 농류 1례

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Author(s)
최동원
Keimyung Author(s)
Choi, Dong Won
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
Keimyung Medical Journal
Issued Date
1999
Volume
18
Issue
3
Keyword
MucopyoceleFrontoethmoidal sinunOrbital dystopiaFrontalis galeal myofascial flapIntracranial extension
Abstract
Mucoceles or mucopyoceles of the paranasal sinus are slowly growing expansile benign cystic lesions as a result of obstruction of draining ostium with subsequent accumulation of mucoid secretion. A case of a huge frontoethmoidal mucopyocele that developed after previous intranasal surgery in a young woman is presented. The case was complicated by intracranial and intraorbital inflammatory extension, that result in headache and bizarre facial appearance due to severe orbital dystopia. CT and MRI were utilized as diagnostic tools.
The mucopyocele was eradicated by external surgical approach and the resulting defect was partially reconstructed with frontalis-galeal myofascial flap Downwardly and lateral wardly displaced orbit was restored spontaneously to its original position and the patient shows no evidence of recurrence of the lesion in a 10-month follow up check. Functional endoscopic sinus surgery is now widely performed for treatment of most paranasal sinus mucoceles but external surgical approach should be considered in some selected cases that need secondary reconstructive procedure.
Alternative Title
A Case of
Mucopyocele Combined with Orbital Dystopia
Keimyung Author(s)(Kor)
최동원
Publisher
Keimyung University School of Medicine
Citation
최동원. (1999). 안와이소를 동반한 전두사골동 점액 농류 1례. Keimyung Medical Journal, 18(3), 478–485.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15167
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 1999
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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