颞下窝包虫侵犯上颌窦1例

One case of the infratemporal fossa hydatid invading maxillary sinus

1病例报告 患者,男,43岁,藏族。主因左眼视力下降1月余,于2016年08月23日入院。患者1个月前无明显诱因出现左眼视力下降,尤以咬牙咀嚼时明显。无眼球活动受限,无鼻腔阻塞及涕中带血,无张口困难、发热及疼痛。患者出生于青海藏区高原,平均海拔3 000 m左右,有牧区生活史和狗、牛、羊接触史,喜食生冻肉。

Male,43 years old,Tibetan.Main reason：left eyesight impaired for one month.Nasal sinus CT：the 47 mm×44 mm cystic low density shadows can be seen in the left infratemporal fossa,the maxillary sinus cavity reduced under the pressurebase.The patient had the internal and external nasal endoscopic sinus resection of the left fossa.The patient＇s left eye sight recovered after the operation.Two weeks after the operation,the sinus was re-examined for CT,showing that the left inferior fossa was removed,but there was no significant difference in the maxillary sinus structure.Sixteen months after the operation,the CT showed that the left maxillary sinus is back to normal after absorbing the bone tissue.