本文讨论鼻窦肿瘤侵及眼眶及面部皮肤的问题。眼眶被侵犯在第一次手术时摘出眼球的适应症如何?如眼球突出、运动受限制、或有明显的骨质破坏,上述适应症已很明显,但病变已到晚期,这样,虽摘除眼球,眶尖部可残留癌组织,不易切除。多数病人眼部似正常,X线片未见眶底骨破坏。即经体层X线片检查,甚至经柯陆氏手术探查,亦难肯定是否有小的骨破坏区。所以,在手术前应征得病人的同意,如病情需要,可将眼球摘除。肿瘤不易侵透眶骨膜,但易由结膜穹窿部侵 This article discusses the problem of sinus neoplasms invading eyelids and facial skin. When the eyelid was invaded during the first operation, how was the indication for removing the eyeball? If the eyeball was prominent, the movement was limited, or there was a clear bone destruction, the above indication was already obvious, but the lesion was late, so that the eyeball was removed. The tip of the sputum may have residual cancerous tissue and is not easily removed. Most patients’ eyes appeared normal, and X-ray showed no evidence of destruction of the base bone. It is difficult to confirm whether there is a small bone destruction area by the X-ray examination of the body layer and even after the exploration by Ke Lu’s surgery. Therefore, the consent of the patient should be obtained before surgery. If the condition requires, the eyeball can be removed. The tumor is not easy to penetrate the periosteal membrane, but it is easily invaded by the conjunctiva.