Stoll W, Busse H, Kroll P
Univ. ENT Clinic, Münster, W. Germany.
J Craniomaxillofac Surg. 1988 Oct;16(7):308-11. doi: 10.1016/s1010-5182(88)80068-4.
During the past six years, visual loss in 60 patients was caused by infectious processes and mucoceles of the ethmoid region, benign paranasal tumours, endocrine ophthalmopathies, head trauma etc. Comparison of preoperative and postoperative visual function in 48 cases treated by decompression of the orbit and in 12 cases treated by decompression of the optic nerve demonstrated visual improvement of 68 percent on average. Surgically, we preferred the transethmoidal route and in some cases the lateral osteoplastic approach. With regard to the success of the surgical therapy, a correlation between the time of manifestation of the visual loss and the time of surgery was found. The results mainly depended on the underlying diseases.
在过去六年中，60例患者的视力丧失是由筛窦区域的感染性病变和黏液囊肿、鼻旁良性肿瘤、内分泌性眼病、头部外伤等引起的。对48例行眼眶减压术和12例行视神经减压术治疗的患者术前和术后视力功能进行比较，结果显示平均视力改善率为68%。在手术方式上，我们更倾向于经筛窦入路，某些情况下采用外侧骨成形术入路。关于手术治疗的成功率，发现视力丧失出现时间与手术时间之间存在相关性。结果主要取决于基础疾病。
