Idowu Oluwatobi O, Kalin-Hajdu Evan, Grumbine F Lawson, Kersten Robert C, McDermott Michael, Vagefi M Reza
Ophthalmology, University of California, San Francisco.
Ophthalmology, University of Maryland.
Cureus. 2017 Dec 11;9(12):e1937. doi: 10.7759/cureus.1937.
The frontotempotal-orbitozygomatic craniotomy (FTOZ) is a standard approach for large sphenoid wing meningiomas (SWMs). Nevertheless, resection of these tumors is not without ophthalmologic risks. This series presents two patients with acute postoperative restrictive strabismus following tumor resection and orbital wall reconstruction. Forced duction testing and postoperative imaging revealed impingement of the lateral rectus muscle caused by an alloplastic implant and/or residual bone, prompting immediate orbitotomy and restoration of normal extraocular muscle function. This report highlights the intricacies of orbital reconstruction, as well as the need for intraoperative forced duction testing.
额颞-眶颧开颅术（FTOZ）是大型蝶骨嵴脑膜瘤（SWM）的标准手术入路。然而，切除这些肿瘤并非没有眼科风险。本系列报告了两名患者在肿瘤切除和眶壁重建术后出现急性限制性斜视。被动牵拉试验和术后影像学检查显示，异体植入物和/或残留骨对外直肌造成压迫，促使立即进行眼眶切开术并恢复眼外肌正常功能。本报告强调了眼眶重建的复杂性，以及术中进行被动牵拉试验的必要性。
