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患者女,14岁。发现右面部膨隆1个月,不伴发热、头痛、鼻涕带血,无外伤史。专科检查;右面部膨隆,局部皮肤无红肿压痛,鼻腔无新生物。鼻窦CT示:右上颌窦腔内有一巨大高密度影。诊断为右上颌窦骨瘤。全身麻醉下,右唇龈沟上切口,充分暴露尖牙窝,见上颌窦前壁膨隆,打开上颌窦前壁,见窦腔扩大,内有一巨大骨瘤,充满窦腔,质坚硬,周围界限清,基部附着于窦腔外下壁,大小约3cm×2.5cm×3cm,用平凿将骨瘤基部凿断,尽量扩大上颌窦前壁骨孔,仍不能取出骨瘤,用大号组
Female patient, 14 years old. Found the right bulge 1 month, without fever, headache, bloody nose, no history of trauma. Specialist examination; swelling of the right side of the Ministry of local skin tenderness tenderness, nasal no new life. Sinus CT showed: right maxillary sinus cavity has a huge high-density shadow. Diagnosis of right maxillary sinus osteoma. Under general anesthesia, right gingival sulci incision, fully exposed canine fossa, see the maxillary sinus anterior wall bulging, open the anterior wall of the maxillary sinus, see the sinus cavity expansion, there is a huge osteoma, full of sinus cavity, hard quality, the surrounding limits Clear, the base attached to the outer wall of the sinus cavity, the size of about 3cm × 2.5cm × 3cm, flat chisel base of the osteoma was cut to maximize the anterior maxillary sinus bone anterior, still can not remove the osteoma, with a large group