Ocular complications following surgery of chronic suppurative otitis media / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To investigate the rarely reported ocular complications following surgery of chronic suppurative otitis media (CSOM) and explore the possible mechanisms.@*METHOD@#The clinical data of 4,012 cases of CSOM treated with surgery were analyzed retrospectively, including age, sex, operation time, surgical approach, time of ocular symptoms presentation, duration of ocular symptoms, treatment and prognosis.@*RESULT@#Among the 4,012 cases, 109 patients (2.72%) developed ocular complication, of which 68.81% (75/109) suffered from blurred vision, 24.77% (27/109) presented only erythema on eyelids or mild periorbital edema, 4.59% (5/109) had erythema on eyelids with periorbital edema, and 1.83% (2/109) complained of periorbital ecchymosis and edema. All of these complications recovered themselves without any sequela.@*CONCLUSION@#Ocular complications following surgery of CSOM are rarely reported. Pre-auricular incision and fascia harvesting, turbulence of venous and lymphatic drainage and preseptal cellulitis might be the risk factors. Blurred vision might be associated with eye injury during surgery and the use of anticholinergic agent.

Four cases of extraskeletal Ewing's sarcoma in the head and neck and literature review / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To evaluate the clinical features,diagnosis,treatment and prognosis of the extraskeletal Ewing's sarcoma in the head and neck.@*METHOD@#The clinical data of four cases of extraskeletal Ewing's sarcoma was analysed and relevant literatures were reviewed.@*RESULT@#Two cases originated from the nasal cavity and paranasal sinuses, the other two cases originated from the oral pharynx and skin respectively. The tumors were all diagnosed via histopathology and immunohistochemistry. Two cases were treated by combined modality therapy and did not recur or metastasize after follow-up for 7 months and 7 years respectively. Another one was treated by surgery and died after 6 months of follow-up. The remaining one was treated by chemotherapy and died with metastasis during the period of therapy.@*CONCLUSION@#The extraskeletal Ewing's sarcoma, which is rare arising from the head and neck, has non-specific clinical manifestation and difficulty in early diagnosis. The disease can be effectively treated by combined therapy, but the high recurrent and metastatic rates usually result in poor prognosis.