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首页> 外文期刊>Advances in Surgical Sciences >Evaluation of the Role of Endoscopic Endonasal Surgery in Management of Orbital Complications of Rhinosinusitis
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Evaluation of the Role of Endoscopic Endonasal Surgery in Management of Orbital Complications of Rhinosinusitis

机译：鼻内镜手术治疗鼻窦炎眼眶并发症的作用评价

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The methods for the treatment of orbital complications of rhinosinusitis are often debated: conservative, surgical or combined. Surgical options include both endoscopic and open surgery. However, in the era of endoscopic surgery of the nose and paranasal sinuses, there are still no clear advantages of these techniques over open interventions. Therefore, our study aimed to clarify and evaluate the results of intranasal endoscopic procedures performed in individuals with orbital complications of rhinosinusitis in search for optimal treatment of this group of patients. 30 patients were divided based on Velasco classification into 3 groups; 1st group (14 patients) for patients with orbital cellulitis, 2nd group (10 patients) for patients with subperiosteal orbital abscess and the 3rd one (6 patients) was for patients with intraorbital abscess. Endoscopic endonasal surgery was done for all patients in group II and III and in 4 patients indicated for surgery in group I. Our result showed a highly significant postoperative improvement in proptosis, ocular motility, diplopia and vision acuity. Conclusion: Endoscopic Sinus Surgery offers a convenient, safe, and effective alternative to open procedures and can be successfully performed in well-selected cases of orbital complications of rhinosinusitis with many advantages.
机译：鼻-鼻窦炎眼眶并发症的治疗方法经常引起争议：保守，手术或联合治疗。手术选择包括内窥镜手术和开放式手术。但是，在鼻内和鼻旁鼻窦的内窥镜手术时代，与开放式干预相比，这些技术仍然没有明显的优势。因此，我们的研究旨在阐明和评估在鼻窦炎眼眶并发症患者中进行鼻内镜检查的结果，以寻求对该组患者的最佳治疗。根据Velasco分类将30例患者分为3组。第一组（14例）是眼眶蜂窝组织炎患者，第二组（10例）是骨膜下眶周脓肿，第三组（6例）是眼眶内脓肿。 II组和III组的所有患者均进行了内窥镜鼻内手术，I组中有4例接受了手术的患者进行了鼻内窥镜手术。我们的结果显示，术后眼球突出，眼球运动，复视和视力的改善显着。结论：内窥镜鼻窦手术提供了一种简便，安全，有效的替代开放手术的方法，并且可以在精心选择的鼻－鼻窦炎眼眶并发症病例中成功进行，具有许多优势。

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