접형동염에 이차적으로 발생한 해면정맥동 혈전의 치료 1례

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. (J Clinical Otolaryngol 1999;10:268–272)