González-García R, Sastre-Pérez J, Rodríguez-Campo F J, Naval-Gías L, Monje F
Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital La Princesa, Autonoma University, c/ Diego de León 62, 28006, Madrid, Spain.
Int J Oral Maxillofac Surg. 2008 Sep;37(9):853-7. doi: 10.1016/j.ijom.2008.05.012. Epub 2008 Jul 7.
The authors present a modification of the classical three-wall orbital decompression for the treatment of Graves' orbitopathy. It consists of two 'C' osteotomies for the bilateral projection of the superolateral, lateral and inferolateral orbital rims, associated with the removal of the lateral orbital walls. This technique is performed following a coronal approach. Ultrasound cutting instruments were used for the osteotomies. They avoided lesion of surrounding soft tissues, such as the duramater and the periorbital tissues. Stabilization of the advanced structure was achieved by interposition of autologous bone graft obtained from the outer cortex of the calvaria. An extreme advancement of the orbital rim with resolution of diplopia, ocular pain and eyelid incompetence was obtained. Using this procedure, a good functional and aesthetic outcome was achieved.
作者介绍了一种改良的经典三壁眼眶减压术，用于治疗Graves眼病。该手术包括两个“C”形截骨术，用于双侧上颌骨外侧、外侧和下外侧眶缘的突出，并切除眶外侧壁。该技术采用冠状入路进行。截骨术使用超声切割器械。他们避免了对周围软组织的损伤，如硬脑膜和眶周组织。通过植入取自颅骨外板的自体骨移植物来实现前移结构的稳定。实现了眶缘的极大前移，复视、眼痛和眼睑功能不全得到缓解。采用该手术方法，取得了良好的功能和美学效果。
