经皮肤皱襞入路内镜辅助切除眶顶病变
Endoscopic-Assisted Removal of Orbital Roof Lesions via a Skin Crease Approach.
作者信息
Prabhakaran Venkatesh C, Hsuan James, Selva Dinesh
机构信息
Oculoplastic and Orbital Division, Department of Ophthalmology and Visual Sciences, University of Adelaide, Australia.
出版信息
Skull Base. 2007 Sep;17(5):341-5. doi: 10.1055/s-2007-986439.
OBJECTIVE
To describe the technique and indications for an endoscopic-assisted approach to orbital roof lesions.
MATERIALS AND METHODS
The technique was used for six cases of orbital roof lesions. An anterior orbitotomy was performed via an upper eyelid skin crease incision. Areas of the lesion behind the superior orbital rim or abutting the dura were removed with the aid of a rigid Storz 3-chip video-endoscope with 30-, 45-, or 70-degree tip.
RESULTS
Six patients with lesions involving the orbital roof were treated using endoscopic-assisted curettage. There were five males and one female with a mean age of 39.6 years (range, 5 months to 67 years). There were two cases each of cholesterol granuloma, Langerhans' cell histiocytosis, and orbital dermoid. The lesions were successfully removed in all cases with a good outcome. Average follow-up was 2.6 years; range, 6 months to 5 years.
CONCLUSION
This technique may be suitable for selected erosive lesions of the superior orbit involving the orbital roof.
目的
描述内镜辅助下处理眶顶病变的技术及适应证。
材料与方法
该技术应用于6例眶顶病变患者。经上睑皮肤皱襞切口行前路眶切开术。借助具有30°、45°或70°尖端的硬质史托斯三晶片视频内镜，切除眶上缘后方或毗邻硬脑膜的病变区域。
结果
6例累及眶顶病变的患者接受了内镜辅助刮除术治疗。其中男性5例，女性1例，平均年龄39.6岁（范围5个月至67岁）。胆固醇肉芽肿、朗格汉斯细胞组织细胞增多症和眶皮样囊肿各2例。所有病例病变均成功切除，效果良好。平均随访2.6年；范围6个月至5年。
结论
该技术可能适用于累及眶顶的部分眼眶上壁侵蚀性病变。
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