侧骨眶减压后眼眶骨内脓肿。

IF 1.3 4区 医学 Q3 OPHTHALMOLOGY
Priscilla April O Lao, Usma Chatha, Aaron Fay, Ryan Heffelfinger, Jurij R Bilyk
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引用次数: 0

摘要

66岁女性,因甲状腺眼病行骨外眶减压术后,反复出现左侧眦水肿和红斑,尽管多次口服抗生素、取出钛硬体、多次探查性眶切开伴清创和刮除。MRI显示左侧大蝶翼骨内积液。另一次探查性眼窝切开术发现骨内脓肿。化脓液送培养,并用杆菌肽溶液彻底清洗患处。培养物生长表皮葡萄球菌。患者接受6周静脉注射抗生素治疗,3年无症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Orbital Intraosseous Abscess After Lateral Bony Orbital Decompression.

A 66-year-old woman status post bony lateral orbital decompression for thyroid eye disease presented with recurrent episodes of left lateral canthal edema and erythema, despite repeated courses of oral antibiotics, titanium hardware removal, and repeated exploratory orbitotomies with debridement and curettage. MRI later revealed an intraosseous fluid collection in the left greater sphenoid wing. Another exploratory orbitotomy was performed and an intraosseous abscess was identified. The purulent fluid was sent for culture, and the area was debrided and irrigated thoroughly with bacitracin solution. Cultures grew Staphylococcus epidermidis . The patient was treated with a 6-week course of intravenous antibiotics and has remained symptom free for 3 years.

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来源期刊
CiteScore
2.50
自引率
10.00%
发文量
322
审稿时长
3-8 weeks
期刊介绍: Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.
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