書誌事項
- タイトル別名
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- Clinical Study in 10 Surgical Cases of Paranasal Sinus Disease with Visual Prognosis
- 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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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>
収録刊行物
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- 耳鼻咽喉科臨床
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耳鼻咽喉科臨床 104 (6), 419-425, 2011
耳鼻咽喉科臨床学会
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詳細情報 詳細情報について
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- CRID
- 1390001204264203392
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- NII論文ID
- 10028222960
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- NII書誌ID
- AN00107089
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- ISSN
- 18844545
- 00326313
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- NDL書誌ID
- 11140966
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可