鼻气道手术后的单侧视力丧失。
Unilateral visual loss after a nasal airway surgery.
作者信息
Awad J, Awad A, Wong Y, Thomas S
机构信息
Department of Ophthalmology, Darlington Memorial Hospital.
出版信息
Clin Med Insights Case Rep. 2013 Jun 25;6:119-23. doi: 10.4137/CCRep.S11158. Print 2013.
Abstract
Septoplasty and turbinoplasty are common ear, nose, throat (ENT) operations which generally have low complication rates. A 45-year-old man had a septoplasty operation and a right turbinoplasty operation under a combined general and local anesthetic. He woke from the procedure with a reduced visual acuity in the right eye and substantial inferior visual field loss. A review of the current literature focuses on the vasospasm effects of local anesthetic, in combination with epinephrine on the intricately linked nasal and orbital vascular supply.
摘要
鼻中隔成形术和鼻甲成形术是常见的耳鼻喉科手术，通常并发症发生率较低。一名45岁男性在全身麻醉和局部麻醉联合作用下接受了鼻中隔成形术和右侧鼻甲成形术。术后他醒来时右眼视力下降，下方视野严重缺损。当前文献综述聚焦于局部麻醉药与肾上腺素联合对错综复杂相连的鼻腔和眼眶血管供应的血管痉挛作用。
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