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对于完全性外展神经麻痹,不采用劈开术和肌腱转位手术。

No split, no tenotomy transposition procedure for complete abducens palsy.

作者信息

Murthy Sowmya Raveendra

机构信息

Sankara Eye Hospital, Varthur Main Road, Kundlahalli Gate, Bengaluru, Karnataka, India.

出版信息

Indian J Ophthalmol. 2017 Jul;65(7):636-638. doi: 10.4103/ijo.IJO_768_16.

Abstract

Abducens palsy is one of the commonly encountered cranial nerve palsies in strabismus clinic. For large-angle esotropia, due to complete abducens palsies, various vertical recti transposition (VRT) procedures have been described. Hummelsheim and Jensen's procedure are especially popular among them. Risk of anterior segment ischemia and induced vertical deviation postVRT prompt to search for better procedures to correct the esotropia and also improve the abduction. Modified Nishida's procedure (no split, no tenotomy transposition) is one of the newly described procedure in this direction. We describe three cases of complete abducens nerve palsy treated by this procedure.

摘要

外展神经麻痹是斜视门诊常见的颅神经麻痹之一。对于大角度内斜视,由于完全性外展神经麻痹,已经描述了各种垂直直肌移位(VRT)手术。其中Hummelsheim和Jensen手术尤其受欢迎。VRT术后前段缺血和诱发垂直偏斜的风险促使人们寻找更好的手术方法来矫正内斜视并改善外展功能。改良的西田手术(不劈开、不切断移位)是在这方面新描述的手术之一。我们描述了三例采用该手术治疗的完全性外展神经麻痹病例。

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