筛窦巨大骨瘤

Big osteoma of ethmoid sinus

患者,男,39岁,头晕、头闷1年,伴右眼胀痛1个月,无流涕、嗅觉减退以及视力下降、复视或视物变形,2011年11月1日在当地医院行鼻窦CT检查,诊断为右侧筛窦占位性病变,由当地医院转入我院。入院检查：右眼球轻度前突,视力正常,无复视。右侧鼻甲无肿大及分泌物,鼻窦冠状位CT复查示：右侧慢性筛窦及蝶窦炎,筛窦骨瘤,右眼内、上直肌及眶尖受压,骨瘤CT值为2 136.97HU,

Summary Sinus osteoma is a common nasal and sinus disease, while the clinical cases of osteoma with a di- ameter greater than 30 millimeter are rarely seen. This paper reports a case of a 39-years-old male patient discov- ered with one-year long swelling pain in the right eye. The patients＇ right eye was mildly prominent and he suffered from hypopsia and diplopia. After CT scanned, he have ethmoid osteoma been discovered, besides, the right media rectus compression and orbital apex compression and consequent pathologically were diagnosed. The solid tumor ranged widely from the anterior skull base to the superior and interior orbital walls,and thus deprived the patient＇s complete surgical resection. As an attempt to prevent complications, most parts of the tumors were sur- gically removed.