Sakamoto Yoshiaki, Nakajima Hideo, Tamada Ikkei, Kasai Shogo, Kishi Kazuo
Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan.
J Craniofac Surg. 2011 Jul;22(4):1348-50. doi: 10.1097/SCS.0b013e31821c941d.
This report addresses a pitfall of decompression for severe exophthalmos. In mild cases, removal of the orbital floor is an effective treatment, but in severe cases, the results of this approach are sometimes unsatisfactory, and only decompression is necessary. In these cases, orbital decompression in 3 areas including the medial wall, the lateral wall, and the orbital floor is usually performed. A 5.0-mm mean reduction in exophthalmos is observed, but more reduction is difficult to achieve.We considered the possibility that removal of the posterior wall of the maxillary sinus is critically important to achieving greater recovery. It is proposed that this technique is effective in creating about 10 mm of improvement for severe exophthalmos.
本报告探讨了严重眼球突出减压术的一个陷阱。在轻度病例中，去除眶底是一种有效的治疗方法，但在严重病例中，这种方法的效果有时并不理想，仅进行减压即可。在这些情况下，通常会在内侧壁、外侧壁和眶底三个区域进行眼眶减压。观察到眼球突出平均减少5.0毫米，但更显著的减少难以实现。我们认为，去除上颌窦后壁对于实现更大程度的恢复至关重要。有人提出，这种技术对于严重眼球突出有效，可使眼球突出改善约10毫米。
