Xu Geng, Li Yuan, Xie Minqiang, Shi Jianbo, Chen Hexin, Wen Weiping, Zhang Gehua, Liu Xian, Xu Rui, Lü Jianting
Department of Otorhinolaryngology, Third Affiliated Hospital Sun Yat-sen University, Guangzhou 510630, China.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2002 Oct;37(5):360-2.
To explore the feasibility of transnasal endoscopic surgery to treat some kinds of diseases within orbit by ethmoidal-lamina papyracea approach, and put forward the basic principle of surgical management.
A total of 10 cases undergone the endoorbital operation by transnasal endoscopic ethmoidal-lamina papyracea approach, including foreign body 4 cases, sponge haemangioma 1 case, invaded and metastatic carcinoma 5 cases.
Successful removing of foreign body from endoorbital for 3 cases, and 1 failure. One case of sponge haemangioma was removed completely. One case of metastatic tumour from nasopharyngeal carcinoma was resected, with no relapse and vision recovered to 0.6 during follow-up period of 4 years. Four cases of invaded carcinoma from ethmosphenoidal sinus were resected completely. Follow-up for 1-4 years showed no relapse.
The endoorbital region inside the optic nerve can be controlled by transnasal endoscopic ethmoidal-lamina papyracea approach. The advanced radiotherapy provides favourable conditions for conservative surgery of endoorbital carcinoma.
探讨经鼻内镜筛骨纸板入路治疗眶内某些疾病的可行性，并提出手术治疗的基本原则。
对10例患者采用经鼻内镜筛骨纸板入路行眶内手术，其中异物4例，海绵状血管瘤1例，侵袭性及转移性癌5例。
3例眶内异物成功取出，1例失败。1例海绵状血管瘤完整切除。1例鼻咽癌转移瘤切除，随访4年无复发，视力恢复至0.6。4例筛蝶窦侵袭性癌完整切除。随访1 - 4年无复发。
经鼻内镜筛骨纸板入路可处理视神经内侧的眶内区域。术前先进的放疗为眶内癌的保守手术提供了有利条件。
