Wee Desmond T H, Carney A Simon, Thorpe Mark, Wormald Peter J
Department of Surgery--Otolaryngology Head and Neck Surgery, Adelaide and Flinders Universities, South Australia.
J Laryngol Otol. 2002 Jan;116(1):6-9. doi: 10.1258/0022215021910195.
Graves' disease may occasionally result in significant proptosis that is either cosmetically unacceptable or causes visual loss. This has traditionally been managed surgically by external decompression of the orbital bony skeleton. Trans-nasal endoscopic orbital decompression is emerging as a new minimally-invasive technique, that avoids the need for cutaneous or gingival incisions. Decompression of the medial orbital wall can be performed up to the anterior wall of the sphenoid sinus. This can be combined with resection of the medial and posterior portion of the orbital floor (preserving the infra-orbital nerve). This technique produces decompression which is comparable to external techniques. We present a series of 10 endoscopic orbital decompressions with an average improvement of 4.4 mm in orbital proptosis. There was an improvement in visual acuity in all patients with visual impairment. Endoscopic orbital decompression is recommended as an alternative to traditional decompression techniques.
格雷夫斯病偶尔可能导致严重的眼球突出，这在外观上是不可接受的，或者会导致视力丧失。传统上，这是通过眼眶骨骼的外部减压手术来处理的。经鼻内镜眼眶减压作为一种新的微创技术正在兴起，它避免了皮肤或牙龈切口的需要。内侧眶壁减压可进行至蝶窦前壁。这可以与眶底内侧和后部的切除（保留眶下神经）相结合。该技术产生的减压效果与外部技术相当。我们展示了一系列10例内镜眼眶减压病例，眼眶突出平均改善了4.4毫米。所有视力受损的患者视力均有改善。推荐内镜眼眶减压作为传统减压技术的替代方法。
