経鼻内視鏡および経皮的アプローチにより摘出し得た涙囊由来結節性筋膜炎例

下薗 知己, 喜山 敏志, 大堀 純一郎, 山下 勝

doi:10.5631/jibirin.117.719

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A Case of Nodular Fasciitis in the Lacrimal Sac That Was Successfully Resected by Combined Use of the Transnasal and Transcutaneous Approach
ケイビナイシキョウオヨビケイヒテキアプローチニヨリテキシュツシエタルイノウユライケッセツセイキンマクエンレイ

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<p>We report a case of nodular fasciitis in the lacrimal sac. The patient was a 30-year-old man who was referred to our department with the complaints of increased lachrymation and swelling of the medial wall of the right orbit. A biopsy was performed under local anesthesia, and the histopathological findings led to the suspicion of nodular fasciitis. In collaboration with an ophthalmologist, the lesion was resected using an external nasal incision and a transnasal endoscopic approach with a navigation system under general anesthesia. The lesion was completely removed with preservation of the external ocular muscle. Postoperative histopathology revealed that the lesion was indeed nodular fasciitis. Currently, neither obvious postoperative nasolacrimal duct obstruction, nor disturbance of the optical functions is observed. There is also no evidence of either a residual or recurrent lesion.</p><p>Nodular fasciitis has frequently been reported in the buccal area of the head and neck region, but it should be borne in mind that it can also occur in intraorbital lesions.</p>

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耳鼻咽喉科臨床

耳鼻咽喉科臨床 117 (8), 719-723, 2024

耳鼻咽喉科臨床学会

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