Clinical Study in 10 Surgical Cases of Paranasal Sinus Disease with Visual Prognosis
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- Kikuchi Hisashi
- Jichi Medical University School of Medicine
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- Nakamura Kenichi
- Jichi Medical University School of Medicine
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- Ishikawa Toshio
- Jichi Medical University School of Medicine
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- Sasamura Yoshimi
- Jichi Medical University School of Medicine
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- Ichimura Keiichi
- Jichi Medical University School of Medicine
Bibliographic Information
- Other Title
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- 視力障害を呈した副鼻腔疾患手術10例の検討
- 臨床 視力障害を呈した副鼻腔疾患手術10例の検討
- リンショウ シリョク ショウガイ オ テイシタ フクビクウ シッカン シュジュツ 10レイ ノ ケントウ
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Abstract
Orbital complications in sinus infections occur due to the anatomical proximity of the paranasal sinuses and orbit. Delayed diagnosis and treatment may involve unfavorable morbidity and mortality. We report 10 cases—7 men and 3 women—of acute rhinosinusitis and acute exacerbation of chronic sinusitis complicating orbital symptoms in the last 5 years. Mean age at consultation was 64.6 years (54-75). Seven had undergone previous sinus surgery. The posterior ethmoid and sphenoid sinus were mainly affected. Mean preoperative visual acuity of 0.07 became 0.53 postoperatively. Restricted eye movement occurred in 1 case of good recovery. Of antibiotics, second- or third-generation cephem was used in 8 cases and carbapenem in 2. Corticosteroids were administered by pulse therapy in 5 and by tapering schedule in 4. Visual recovery occurred in 7. Unrecovered cases were likely to receive delayed surgery. We recommend initial 3-day steroid pulse therapy in subject with decreased vision, discontinued on vision recoveries. Pulse therapy should be continued in case of incomplete or poor recovery.<br>
Journal
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- Practica Oto-Rhino-Laryngologica
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Practica Oto-Rhino-Laryngologica 104 (6), 419-425, 2011
The Society of Practical Otolaryngology
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Details 詳細情報について
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- CRID
- 1390001204264203392
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- NII Article ID
- 10028222960
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- NII Book ID
- AN00107089
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- ISSN
- 18844545
- 00326313
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- NDL BIB ID
- 11140966
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed