Thompson R F, Gluckman J L, Kulwin D, Savoury L
Department of Otolaryngology and Maxillofacial Surgery, University of Cincinnati Medical Center, OH 45267-0528.
Otolaryngol Head Neck Surg. 1990 Jan;102(1):45-50. doi: 10.1177/019459989010200108.
Orbital hemorrhage is an unusual complication of ethmoid surgery. A case of intraoperative orbital hemorrhage occurring during a medial maxillectomy and one occurring during a transethmoid sphenoidotomy are presented. The pathogenesis of this potentially serious complication is discussed. A sequential treatment algorithm is presented, consisting of medial orbitotomy, lateral canthotomy and inferior cantholysis, and inferior orbital decompression, along with concomitant medical management with mannitol, acetazolamide, and dexamethasone.
眼眶出血是筛窦手术罕见的并发症。本文报告了1例在内侧上颌骨切除术期间发生的术中眼眶出血病例以及1例在经筛蝶窦切开术期间发生的眼眶出血病例。本文讨论了这种潜在严重并发症的发病机制。本文提出了一种序贯治疗方案，包括眶内侧切开术、外眦切开术和下睑眦韧带松解术以及眶下减压术，同时联合使用甘露醇、乙酰唑胺和地塞米松进行药物治疗。
