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第52卷 第6期 2019-12
Glossopharyngeal neuralgia treated using stereotactic Gamma Knife radiosurgery

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第52卷 第6期 2019-12
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第52卷 第6期 2019-12
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第52卷 第6期 2019-12
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第52卷 第6期 2019-12
Linear accelerator‑based radiosurgery in treating indirect carotid cavernous fistulas

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第52卷 第6期 2019-12
Comparison of mesh fixation and nonfixation in laparoscopic transabdominal preperitoneal repair of inguinal hernia

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第52卷 第6期 2019-12
Management of postoperative ileus after robot‑assisted radical prostatectomy

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第52卷 第6期 2019-12
Demography of the remnant of omphalomesenteric duct

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第52卷 第5期 2019-10
Corrigendum: Simultaneous or staged operation? Timing of cranioplasty and ventriculoperitoneal shunt after decompressive craniectomy

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第52卷 第5期 2019-10
Cowden syndrome diagnosed by Lhermitte–Duclos disease

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第52卷 第5期 2019-10
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第52卷 第5期 2019-10
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第52卷 第5期 2019-10
Gigantic giant cell tumor of the anterolateral rib treated with wide resection

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第52卷 第5期 2019-10
Robotic nipple‑sparing mastectomy: A preliminary report of a single institute and joint collective analysis of current reported series

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第52卷 第5期 2019-10
Factor influencing outcome of source control in the management of complicated intra‑abdominal infection in Cipto Mangunkusumo University Hospital

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第52卷 第5期 2019-10
Acute gastric volvulus in children: A systematic review

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第52卷 第5期 2019-10
Blue‑light cystoscopy and narrow‑band imaging in bladder cancer management

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第52卷 第4期 2019-10
Clipping of spinal arteriovenous fistula of the filum terminale under intraoperative angiography guidance

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第52卷 第4期 2019-10
Retiform and epithelioid hemangioendothelioma arising from the spleen

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第52卷 第4期 2019-10
Multiple paragangliomas involving carotid body and vagal region

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篇名 Periorbital purulent drainage of resulting from bacterial pansinusitis
作者 Chia-Ming Lin, Pin-Keng Shih
卷期/出版年月 52卷2期 (2019/4)
頁次 60-62
摘要 Periorbital cellulitis is much more common in younger children than in adolescents or adults, and most cases of uncomplicated periorbital cellulitis can be treated with antibiotics alone. Here, we report a case of a 53‑year‑old man with periorbital purulent discharge. Computed tomography imaging revealed pansinusitis. Pus culture isolated a pathogen of Streptococcus constellatus, but it was refractory to 2 weeks of antibiotic therapy with amoxicillin–clavulanate. The patient underwent debridement and functional endoscopic sinus surgery, followed by 10 days of hyperbaric oxygen treatment. The above antibiotic was changed to full‑dose intravenous clindamycin. Two weeks after the surgery, the patient was discharged from the hospital. At 1‑month follow‑up, no purulent discharge was noted; however, mild left‑eyelid contracture was observed. This study suggested that if conservative therapy for periorbital purulent discharge in an adult is not effective, progressive treatment, including surgery, should be considered.
關鍵詞 Periorbital cellulitis, sinusitis, Streptococcus constellatus
分類 Case Report

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