Department of Orbital Diseases, Eye Hospital Affiliated to Nanchang University, No. 463, Bayi Avenue, Nanchang.
Department of Ophthalmology, Xinyu City People's Hospital, Jiangxi Province, China.
J Craniofac Surg. 2021;32(5):1765-1769. doi: 10.1097/SCS.0000000000007346.
To explore the feasibility of navigation-guided sinus endoscopy to remove the cavernous vascular malformation of the orbital apex through the sphenoid approach.
A retrospective series of non-control cases were collected. From May 2012 to December 2019, patients with imaging findings of cavernous venous malformation in the orbital apex were collected at the Eye Hospital Affiliated to Nanchang University. All patients underwent navigation guided sinusoscopy through the sphenoid approach to remove the cavernous venous malformation of the orbital apex. Analyze the changes of visual function and postoperative complications before and after operation.
Twelve patients were collected, including 3 males and 9 females aged between 32 and 59. In 3 patients without visual impairment, the postoperative visual function was still normal. The remaining 9 patients all had visual impairment. Among them, 3 patients had fully recovered normal visual function after operation, 2 patients had improved visual function compared with preoperative, and 4 patients had no change in postoperative visual acuity. There were no complications in 3 of the 12 patients, and 9 patients had transient limited intraocular rotation with mild limitation of diplopia after operation, and all returned to normal within 1 month after surgery.
Navigation-guided sinus endoscopy through the sphenoid approach to remove the cavernous venous malformation of the orbital apex is an effective and feasible surgical method.
探讨导航引导下经蝶窦入路鼻窦内窥镜切除眶尖海绵窦血管畸形的可行性。
回顾性收集非对照病例系列。2012 年 5 月至 2019 年 12 月，南昌大学附属医院眼科收治影像学表现为眶尖海绵窦静脉畸形的患者。所有患者均采用导航引导下经蝶窦入路鼻窦内窥镜切除眶尖海绵窦静脉畸形。分析手术前后视力功能的变化及术后并发症。
共收集 12 例患者，其中男 3 例，女 9 例，年龄 32~59 岁。3 例无视力障碍患者术后视力仍正常。其余 9 例患者均有视力障碍。其中术后 3 例完全恢复正常视力，2 例术前视力改善，4 例术后视力无变化。12 例患者中 3 例无并发症，9 例术后出现短暂性眼球内转受限，轻度复视，术后 1 个月内均恢复正常。
导航引导下经蝶窦入路鼻窦内窥镜切除眶尖海绵窦血管畸形是一种有效可行的手术方法。
