Abstract

Objective To investigate the clinical feature and treatment on rhypenous unilateral exophthalmoses and increase their correctness of diagnosis and treatment. Methods One hundred and thirty-seven rhypenous unilateral exophthalmoses patients' clinical data were analyzed. Results There were 39malignant tumors(28.5%)and 98 benign diseases(71.5%)in the 137 patients. All 137 cases underwent surgical operation. Eighty-three patients were treated through intranasal endoscopic surgery and 15 patients were treated through the outside of nose approach in 98 benign diseases. Ninty-two patients with exophthalmoses cured and 6 patients recovered incompletely after operation. After more than 1-year follow-up, no recurrence happened. The eyeballs of 32 cases were kept in 39 malignant tumors being used by operation combined with radiotherapy. Conclusions Rhypenous unilateral exophthalmoses has their clinical features. CT is an effective method for diagnosis of rhypenous unilateral exophthalmoses. Intranasal endoscopic surgery is the important method for benign rhypenous unilateral exophthalmoses.Patients with rhypenous unilateral exophthalmoses resulted from malignant tumors should be taken different measures according to different circumstances. Key words: Exophthalmoses; Paranasal sinus neoplasms: Endoscopes

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