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患者女,13岁。因鼻根隆起、双眼外突半年于1994年7月12日第一次住院。检查:一般情况可。面部畸形似马面:双眼向颞侧外突,鼻根明显膨大隆起,眼距明显增宽,眼球活动度差。视力右眼丧失,左眼1.0。CT示前、中颅窝与眶、鼻沟通性混杂密度肿块,9.0×7.0×10.0cm 大小。在气管插管全麻下,行右额、鼻根左侧瓣状皮切口,右额骨瓣成形,经鼻根、眉间及额下硬膜外入路手术。见肿瘤侵蚀破坏眶内侧板、筛板与蝶
Female patient, 13 years old. Because of the nasal root bulge, the two eyes outside the first half of the year in July 12, 1994 the first hospitalization. Check: the general situation can be. Facial deformity like horse: eyes protruding to the temporal side, the nasal enlargement significantly bulging, eye widened significantly, poor eye activity. Right eye loss of vision, left eye 1.0. CT before, middle cranial fossa and orbital, nasal communication mixed density mass, 9.0 × 7.0 × 10.0cm size. Tracheal intubation under general anesthesia, OK right forehead, left root rhinoplasty rhinoplasty incision, right frontal bone flap formation, via the nasal root, eyebrows and epidural forehead surgery. See erosion orbital destruction of the medial plate, sieve and butterfly