Takahashi Yasuhiro, Miyazaki Hidetaka, Ichinose Akihiro, Nakano Takashi, Asamoto Ken, Kakizaki Hirohiko
Department of Ophthalmology, Aichi Medical University , Nagakute, Aichi , Japan .
Orbit. 2013 Dec;32(6):409-12. doi: 10.3109/01676830.2013.833256. Epub 2013 Sep 24.
Isolated deep lateral and combined medial orbital wall decompressions (balanced decompression) are well accepted for treatment of disfiguring proptosis and compressive optic neuropathy in patients with Graves' orbitopathy. However, cerebrospinal fluid leakage and/or optic nerve injury occasionally occur during these operations.
To describe the anatomy of the deep lateral and medial orbital walls and its surgical implications in orbital decompression.
We reviewed literature on the anatomy of the deep lateral and medical orbital walls. In addition, we performed cadaver dissection and computed tomographics studies to illustrate the anatomy.
We provided an anatomical overview and elucidated the detailed surgical anatomy of the posterior and superior borders of the deep lateral orbital wall, the posterior and accessory ethmoidal foramina, and the frontoethmoidal suture.
The anatomy of the deep lateral and medical orbital walls presented here will warrant safe and confident performance of orbital decompression surgery.
孤立性眶外侧壁减压术及联合眶内侧壁减压术（平衡减压术）在治疗Graves眼病患者的毁容性眼球突出和压迫性视神经病变方面已被广泛接受。然而，这些手术偶尔会发生脑脊液漏和/或视神经损伤。
描述眶外侧壁深部和眶内侧壁的解剖结构及其在眼眶减压术中的手术意义。
我们回顾了有关眶外侧壁深部和眶内侧壁解剖结构的文献。此外，我们进行了尸体解剖和计算机断层扫描研究以阐明其解剖结构。
我们提供了一个解剖学概述，并阐明了眶外侧壁深部的后缘和上缘、筛后孔和筛前孔以及额筛缝的详细手术解剖结构。
本文介绍的眶外侧壁深部和眶内侧壁的解剖结构将有助于安全、自信地进行眼眶减压手术。
