筛窦骨瘤在临床是比较少见的,尤其是需要手术治疗的巨大骨瘤更属罕见,国内64-84年二十年间,报导不到二十例。其中发生在筛窦、额窦有12例之多。骨瘤最大者如手拳、最小似豌豆,重量在0.35g-200g,我院在1983年6月份收治一名筛窦骨瘤病人,现介绍如下: 白××、男性、21岁、工人自述右眼发胀、外突半年。右眼球明显向前外方突出,双眼视力正常,复视(-),眼底右眼鼻上方乳突像欠清,黄斑正常,鼻腔内无脓血涕。X线照片,显示右筛窦扩大,内有2×2cm直径大圆形,致密骨性影,浓度高、边缘分叶状,部分突出眼眶内。在全麻下行筛窦鼻外术式切开,钝性分离,暴露泪囊窝,其筛窦外侧壁大部 Ethmoid sinus tumor is relatively rare in clinical practice, especially the need for surgical treatment of giant osteoma is even rare, 64 to 84 years of domestic 20 years, reported less than 20 cases. Which occurred in the ethmoid sinus, frontal sinus there are as many as 12 cases. The largest osteoma of the hand, such as boxing, the smallest peas, weighing 0.35g-200g, our hospital in June 1983 admitted to a patients with ethmoid sinus tumors are presented below: White × ×, male, 21 years old, workers readme Right eye swollen, protruding half a year. Right eye prominent foreign front prominent, binocular vision is normal, diplopia (-), fundus nasal ophthalmic upper mammography less clear, macular normal, no nasal purulent blood tears. X-ray images showed that the right ethmoid sinus enlargement, there are 2 × 2cm diameter large round, dense bony shadow, high concentration, marginal lobulated, part prominent orbital. Under general anesthesia ethmoid sinus surgery incision, blunt dissection, exposure of the lacrimal sac, most of its ethmoid sinus wall