Gola R, Cheynet F, Guyot L
Service de Stomatologie, Chirurgie maxillo-faciale et Plastique de la face, CHU Nord, Chemin des Bourellys, 13915, Marseille Cedex 20, France.
J Fr Ophtalmol. 2002 Mar;25(3):319-32.
Ophthalmic manifestations of nasal obstruction can involve palpebral, orbital and ophthalmic disturbances. They can be the consequence of -Direct contact with the nasal obstruction because the orbital cavity drains partly in to the nasal fossae: rings, lipoptosis, blephaochalasis, fat protrusions, aggravation of exophthalmy in Grave's disease. -Oral breathing: there are modifications in the shape of the palpebral fissure (round eye) by stretching of the facial mask and modifications of the orbital rims (sad eye) due to a lack of naso sinusal expansion, often associated with malocclusion. -A biomechanical correlation between the dental occlusion and the orbital area because of the presence of the maxillary sinus. Every occlusal disorder has an influence on projections of the supra-and infraorbital rims.
鼻塞的眼部表现可累及眼睑、眼眶和眼部功能紊乱。这些表现可能是以下情况导致的:
由于眼眶腔部分引流至鼻腔,与鼻塞直接接触:睑裂环、上睑下垂、睑皮松弛症、脂肪突出、格雷夫斯病中眼球突出加重。
口呼吸:由于面部面罩拉伸,睑裂形状发生改变(圆眼),且由于鼻窦缺乏扩张,眶缘发生改变(悲伤眼),常伴有错牙合畸形。
由于上颌窦的存在,牙合与眼眶区域之间存在生物力学关联。每种牙合紊乱都会对上眶缘和下眶缘的投影产生影响。