Pletcher Steven D, Sindwani Raj, Metson Ralph
Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, CA, USA.
Otolaryngol Clin North Am. 2006 Oct;39(5):943-58, vi. doi: 10.1016/j.otc.2006.06.003.
The endoscopic transnasal approach is well suited for decompression of both the orbit and optic canal. High-resolution nasal endoscopes provide excellent visualization for bone removal along the orbital apex and skull base. Endoscopic orbital decompression has proved to be safe and effective for the treatment of patients with Graves' orbitopathy; however, the indications and outcomes for endoscopic decompression of the optic nerve remain controversial.
鼻内镜经鼻入路非常适合眼眶和视神经管减压。高分辨率鼻内镜为沿眶尖和颅底去除骨质提供了极佳的视野。鼻内镜眼眶减压已被证明对格雷夫斯眼眶病患者的治疗是安全有效的;然而,鼻内镜视神经减压的适应证和疗效仍存在争议。