Rootman Daniel B
Division of Orbital and Ophthalmic Plastic Surgery, Doheny and Stein Eye Institutes, University of California, Los Angeles, Los Angeles, California, USA.
Surv Ophthalmol. 2018 Jan-Feb;63(1):86-104. doi: 10.1016/j.survophthal.2017.03.007. Epub 2017 Mar 24.
The literature regarding orbital decompression for thyroid eye disease is vast, spanning multiple specialty areas including neurosurgery, head and neck, maxillofacial, and ophthalmic plastic surgery. Although techniques have advanced considerably over the more than 100 years during which this procedure has been performed, the 4 major approaches remain: transorbital, transcranial, transantral, and transnasal. The explosion in literature related to orbital decompression has mostly involved minor technical variations on broader surgical themes. The purpose of this review is to organize the major approaches in terms of bony anatomy and to contextualize variation in transdisciplinary techniques within a common conceptualization.
关于甲状腺眼病眼眶减压的文献浩如烟海，涵盖多个专业领域，包括神经外科、头颈外科、颌面外科和眼科整形手术。尽管在开展该手术的100多年间技术有了很大进步，但主要的4种手术入路仍然是：经眶入路、经颅入路、经鼻窦入路和经鼻入路。与眼眶减压相关的文献激增，大多涉及更广泛手术主题下的细微技术差异。本综述的目的是根据骨解剖结构梳理主要手术入路，并在一个共同的概念框架内对跨学科技术的差异进行背景化阐述。
