Russin Jonathan J, Rangel-Castilla Leonardo, Kalani M Yashar S, Spetzler Robert F
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, 350 W. Thomas Road, Phoenix, AZ 85013, USA.
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, 350 W. Thomas Road, Phoenix, AZ 85013, USA.
J Clin Neurosci. 2015 May;22(5):877-82. doi: 10.1016/j.jocn.2014.11.002. Epub 2015 Mar 18.
Orbital lymphangiomas are rare benign vascular lesions of the orbit. Due to their intimate relationship to the orbital contents, gross total resection can be difficult, resulting in a relatively high recurrence rate. Between May 2002 and June 2013, eight patients (five male, three female) underwent surgical resection for orbital lymphangiomas at our institution. Of the seven patients with follow-up, six experienced improvement in presenting symptoms at a mean of 5.3 years (range 1-23 years). Recurrence was seen in five of the seven patients (71.4%). Recurrence developed at a mean of 7.2 years (range 1-23 years) after the initial procedure. New or worsening cranial nerve deficits were seen postoperatively in three of eight patients (37.5%) with follow-up. All postoperative deficits were resolved at last follow-up. Orbital lymphangiomas are challenging surgical lesions in which gross total resection is frequently not possible. Subtotal resection is safe and effective for symptomatic relief.
眼眶淋巴管瘤是眼眶罕见的良性血管病变。由于它们与眼眶内容物关系密切，完整切除可能困难，导致复发率相对较高。2002年5月至2013年6月，我院有8例患者（5例男性，3例女性）接受了眼眶淋巴管瘤手术切除。在7例有随访的患者中，6例在平均5.3年（范围1 - 23年）时出现症状改善。7例患者中有5例（71.4%）复发。复发发生在初次手术后平均7.2年（范围1 - 23年）。在有随访的8例患者中，3例（37.5%）术后出现新的或加重的颅神经缺损。所有术后缺损在最后随访时均得到缓解。眼眶淋巴管瘤是具有挑战性的手术病变，通常无法进行完整切除。次全切除对于缓解症状是安全有效的。
