Department of Ophthalmology, University of Washington, Seattle, Washington, USA.
Ophthalmic Plast Reconstr Surg. 2011 Jan-Feb;27(1):38-43. doi: 10.1097/IOP.0b013e3181dc8338.
To describe a subclass of venous malformations of the orbit whose hemodynamic properties make them ideal for treatment with the technique of intraoperative embolization using cyanoacrylate glue followed by direct surgical excision.
A retrospective, noncomparative clinical study of 3 patients with "low-outflow" venous lesions of the anterior orbit who underwent treatment with the above technique in January 2008 and were followed for 2 years.
Three patients presented with venous malformations of the orbit and elected to undergo surgical intervention. All cases demonstrated clinical and/or radiographic evidence of slow distensibility and were characterized by limited outflow through one or a few draining veins. All underwent intraoperative embolization using cyanoacrylate glue followed by direct surgical excision. In all cases, the surgical dissection of the lesion postgluing was straightforward. The boundary between the lesion and surrounding normal tissues was well demarcated, meticulous hemostasis was easy to maintain, and complete surgical excision was achieved. All 3 patients are doing well after 2 years with no recurrence of their lesions.
"Low-outflow" venous lesions of the orbit can be safely treated with intraoperative embolization using cyanoacrylate glue followed by direct surgical excision, thereby ensuring complete removal of the lesion and minimizing chances of recurrence.
描述眼眶静脉畸形的一个亚类，其血流动力学特性使其成为使用氰基丙烯酸酯胶进行术中栓塞治疗的理想选择，然后直接进行手术切除。
回顾性非对照临床研究了 3 例接受上述技术治疗的前眼眶“低流出量”静脉病变患者，随访时间为 2 年。
3 例患者均表现为眼眶静脉畸形，并选择接受手术干预。所有病例均表现出缓慢扩张的临床和/或影像学证据，其特征是通过一条或几条引流静脉的流出量有限。所有患者均接受了术中使用氰基丙烯酸酯胶栓塞，然后直接进行手术切除。在所有病例中，胶后手术解剖病变都很直接。病变与周围正常组织之间的边界清晰，易于维持精细止血，可实现完全切除。所有 3 例患者在 2 年后均恢复良好，病变无复发。
“低流出量”眼眶静脉病变可通过术中使用氰基丙烯酸酯胶栓塞治疗，然后直接进行手术切除，从而确保完全切除病变，最大限度地减少复发机会。
