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患者男,12岁,因右侧面颊部隆起6个月,于1987年2月2日入院。半年前发现右侧面部隆起,逐渐增大,无疼痛、发热、脓性鼻涕及牙痛。体查:一般情况好,心肺正常。右侧面颊部隆起约4×4×2cm,皮肤无红肿及青紫,质中等硬,不能移动,无压痛,有乒乓球感。穿刺上颌内室内侧壁无阻挡,未抽出分泌物及血液。鼻粘膜无充血,中、下鼻甲不大,无脓性鼻涕。X光照片(片号33710):右侧上颌窦腔消失,前壁膨隆明显,骨皮质薄,有骨破坏缺损,窦腔下方有一齿影。报告为有上颌窦含齿囊肿。 2月6日在全麻下行右上颌窦根治术,术中见上颌窦前壁、内侧壁、上壁及后壁骨质破坏,窦腔扩大约5×6×4cm。窦腔内肿块呈紫红色,质软,腐肉样,易出血,未见牙齿。清除病变组织,冲洗窦腔后,以碘仿纱条填塞。伤口愈合后出院。出院后行放射治疗,继续观察。病理检查:肉眼为
The patient, male, 12 years old, was up for 6 months on the right cheek, and was admitted on February 2, 1987. Six months ago found that the right side of the face uplift, and gradually increased, no pain, fever, purulent nasal discharge and toothache. Physical examination: the general situation is good, normal heart and lungs. Right cheek bump about 4 × 4 × 2cm, no redness and bruising skin, medium hard, can not move, no tenderness, a sense of ping pong. No puncture of the upper wall of the maxillary internal wall, no discharge of secretions and blood. No congestion of nasal mucosa, middle and lower turbinate is not, no purulent nasal discharge. X-ray film (No. 33710): the right maxillary sinus cavity disappeared, bulging anterior wall was obvious, cortical bone thin, bone destruction defect, there is a toothache under the sinus cavity. Reported as having maxillary sinus cyst. February 6 under general anesthesia right maxillary sinus surgery, see the maxillary sinus surgery in the anterior wall, medial wall, the upper wall and the posterior wall of the bone destruction, sinus expansion about 5 × 6 × 4cm. Sinus cavity mass was purple, soft, carrion-like, easy bleeding, no teeth. Remove the diseased tissue, flush the sinus cavity, fill with iodoform gauze. Healed after discharge. Radiotherapy after discharge, continue to observe. Pathological examination: the naked eye