KMID : 0390219990100020268
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Journal of Clinical Otolaryngology, Head and Neck Surgery 1999 Volume.10 No. 2 p.268 ~ p.272
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A Case of Cavernous Sinus Thrombophlebitis Secondary to Sphenoid Sinusitis
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Abstract
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Cavernous sinus thrombophlebitis manifests proptosis, chemosis, lid edema, limitation
of extraocular muscle motion, and decreased visual acuity. This disease also has high
mortality and neurologic morbidity rate ; therefore, the prompt, precise, and appropriate
diagnosis and treatment is essentially needed. The method of treatment is a surgery
applied to primary infection focus with antibiotic therapy. Cavernous sinus
thrombophlebitis may be caused by mid-facial skin infection, paranasal sinusitis cause
this disease. The authors experienced a case of cavernous sinus thrombophlebitis arising
from sphenoid sinusitis. We drained pus from the sphenoid sinus using endoscopic sinus
surgery technique and applied intravenous antibiotic therapy leading to the resolution of
cavernous thrombophlebitis.
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