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患者女性.42岁。因右眼视力模糊,眼球外突、复视和头痛入院。体检;右眼球向上、向内和外展活动受限;于右眶内侧有—1.5×1cm大小质硬而固定的肿块;右鼻腔亦见新生物。副鼻窦X线检查诊断为双侧慢性上颌窦炎。CT扫描诊断为右上颌窦肿瘤浸润内壁、上壁、眼眶、筛窦及鼻腔。因患者拒绝行上颌骨切除术而改行眶内容剜出和右上颌窦筛窦根治术。
Female patient is 42 years old. Due to the blurred vision in the right eye, the bulging out of the eye, diplopia, and headache were admitted to the hospital. Physical exam; Right eyeball is restricted upwards, inwards, and abduction; there is a hard, fixed mass of -1.5 x 1 cm in the medial side of the right eyelid; new creatures are also seen in the right nasal cavity. X-ray of the paranasal sinus was diagnosed as bilateral chronic maxillary sinusitis. The CT scan diagnosed the right incisor sinus tumor infiltrating the inner wall, upper wall, eyelid, ethmoid sinus, and nasal cavity. Due to the patient’s rejection of maxillary resection, the contents were removed and the right maxillary sinus radical surgery was performed.