Selva Dinesh, Chen Celia, Wormald Peter-John
Oculoplastic and Orbital Unit, Department of Ophthalmology, Royal Adelaide Hospital, Adelaide University, South Australia.
Ophthalmic Plast Reconstr Surg. 2003 May;19(3):237-8. doi: 10.1097/01.iop.0000062847.27980.ce.
A 28-year-old woman had an extensive osteoma arising in the frontoethmoidal sinuses and involving the orbital roof. The tumor was successfully removed by means of a combined sinus endoscopic and orbital approach, with the assistance of stereotactic localization. The patient had postoperative ptosis, diplopia, and supraorbital nerve anesthesia, which all resolved over a 3-month period. A stereotactic-assisted, sino-orbital approach to selected frontoethmoidal osteomas may provide a viable alternative to an orbitocranial approach.
一名28岁女性患有起源于额筛窦并累及眶顶的广泛性骨瘤。在立体定向定位的辅助下，通过鼻窦内镜和眼眶联合入路成功切除了肿瘤。患者术后出现上睑下垂、复视和眶上神经麻醉，这些症状在3个月内均得到缓解。对于选定的额筛窦骨瘤，立体定向辅助的鼻窦-眼眶入路可能是眶颅入路的可行替代方案。
