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首页> 外文期刊>Ophthalmic plastic and reconstructive surgery >Posterior nasal septectomy in endoscopic orbital apex surgery.
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Posterior nasal septectomy in endoscopic orbital apex surgery.

机译:鼻内窥镜后鼻内窥镜手术在鼻内镜眶尖手术中的应用。

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摘要

PURPOSE: To review cases of endoscopic orbital apex surgery using posterior nasal septectomy and describe the technique and benefits. METHODS: A retrospective chart review of all cases of endoscopic orbital apex surgery with the use of intraoperative posterior nasal septectomy over a 3-year period. Three cases are described, and the technique and limitations and advantages of this approach are detailed. RESULTS: Endoscopic orbital apex surgery cases over a 3-year period were reviewed. Three of these cases involved the use of posterior nasal septectomy. All 3 cases involved large lesions at the orbital apex and periorbital skull base. Two of the lesions also involved the cavernous sinus and one extended in the optic canal. The alternative for all patients would have involved a transcranial approach. During the mean follow-up of 9 months, no complications were noted. CONCLUSION: The use of posterior nasal septectomy in endoscopic surgery has been used for access of the skull base. This is the first description of this technique for access of orbital apical lesions. This technique improves visualization and surgical access to the orbital apex and periorbital skull base, sparing the patient larger craniofacial surgeries. No complications were noted in this preliminary patient cohort.
机译:目的:审查使用鼻后鼻中隔切除术的内窥镜眶尖手术病例并描述其技术和益处。方法:回顾性图表回顾了三年内所有术中使用鼻后鼻内窥镜切除术的内窥镜眶尖手术病例。描述了三种情况,并详细介绍了此方法的技术以及局限性和优点。结果:回顾了3年内镜下眶尖手术病例。其中三例涉及使用后鼻隔切除术。 3例均累及眶尖和眶周颅底大病变。其中两个病变也累及海绵窦,一个在视神经管中延伸。所有患者的替代方案都将涉及经颅入路。在平均9个月的随访期间,未发现并发症。结论:鼻内窥镜后鼻内窥镜切除术已被用于颅底的通行。这是该技术对眶尖病变的进入的首次描述。该技术改善了眼眶尖和眶周颅底的可视化和手术通道,从而为患者节省了更多的颅面外科手术。在该初步患者队列中未发现并发症。

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