Lynch手术治疗额窦前壁粉碎性骨折伴复视1例

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1 病例报告患者男,25岁。20天前,被他人用木棒击伤额部,当即流血,无昏迷,无恶心呕吐,在当地行清创缝合术。7天折线即发现额部塌陷,并伴有复视。于1998—09—04到我院求治。查体:见额部有8 cm×5 cm凹陷处,最深处约2.0 cm,边界清晰,无红肿,无触痛。经常头痛头晕,不能看近物,看远时右眼出现复视。查眼位:无明显外斜视。头部正侧位 X 线片示,双眼视神经孔对比观察未见明显异常改变,额窦前壁骨质紧贴于下壁,窦腔消失。入院后第6天在局麻加强化下行 1 case report Patient male, 25 years old. 20 days ago, others were injured with a wooden stick forehead, immediately bleed, no coma, no nausea and vomiting, debridement and sutures in the local line. 7 days broken line that forehead collapsed, accompanied by diplopia. In 1998-09-04 to our hospital for treatment. Physical examination: see the Ministry of the Ministry of depression 8 cm × 5 cm, the deepest about 2.0 cm, the boundary is clear, no swelling, no tenderness. Often headache dizziness, can not see near objects, look far when the diplopia appears in the right eye. Check eye position: no significant exotropia. The head is lateral X-ray film showed no significant abnormal changes in the bilateral optic nerve hole contrast observation, frontal osseous bone close to the inferior wall, sinus disappeared. On the 6th day after admission, local anesthesia was strengthened
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