Kolebacz Bogdan, Stryjwska-Makuch Grazyna, Bartek Szczepan, Sidorowicz Barbara
Oddział Laryngologii, Samodzielny Publiczny Szpital Kliniczny nr 7 Slaskiego Uniwersytetu Medycznego, Górnoślaskie Centrum Medyczne.
Otolaryngol Pol. 2010 Jan-Feb;64(1):43-6. doi: 10.1016/s0030-6657(10)70034-2.
Graves' disease may result in significant proptosis that causes visual loss. This has been traditionally managed surgically by external bony skeleton decompression. Tran nasal endoscopic orbital decompression is as a new technique that avoids the need for cutaneous or gingival incisions. Decompression of the medial orbital wall can be performed up to the anterior wall of the sphenoid sinus. This technique produces decompression which is comparable to external techniques. The authors present an emergency case of endoscopic orbital decompression in Graves'-Basedov patient with loss of vision. Vision recovery was immediately after endoscopic transnasal decompression. Endoscopic orbital decompression is recommended as an alternative to traditional decompression techniques.
格雷夫斯病可能导致严重的眼球突出，进而引起视力丧失。传统上，这是通过外部骨性框架减压手术来治疗的。经鼻内镜眼眶减压术是一种新技术，无需进行皮肤或牙龈切口。内侧眶壁减压可一直进行到蝶窦前壁。该技术产生的减压效果与外部技术相当。作者介绍了1例格雷夫斯-巴塞多病患者因视力丧失而行内镜眼眶减压术的急诊病例。内镜经鼻减压术后视力立即恢复。推荐将内镜眼眶减压术作为传统减压技术的替代方法。
