Wang Y H, Yu J H, Hu J H, Xu Q H, Huang Q, Gan P Y, Wang A A, Liao H F
Department of Orbital Diseases, Ophthalmology Hospital Affiliated to Nanchang University, Nanchang 330006, China.
Zhonghua Yan Ke Za Zhi. 2021 Nov 11;57(11):837-843. doi: 10.3760/cma.j.cn112142-20210207-00081.
To explore the feasibility of navigation-guided nasal endoscopy for removal of the cavernous hemangioma of the orbital apex through the sphenoid approach. Retrospective case series study. From May 2012 to December 2019, 12 patients (12 eyes) with imaging findings of cavernous hemangioma in the orbital apex were collected at the Eye Hospital Affiliated to Nanchang University, including 3 males and 9 females aged 32 to 59 years. All patients underwent navigation-guided sinusoscopy through the sphenoid approach to remove the cavernous hemangioma of the orbital apex (video attached). Changes of visual function and complications after operation were analyzed. In 3 patients without visual impairment, the postoperative visual function was still normal. Among the remaining 9 patients with preoperative visual impairment, visual function was fully recovered in 3 patients after operation, was improved in 2 patients, and had no change in 4 patients. There were no complications in 3 of the 12 patients, and 9 patients had transient, mildly limited intraocular rotation with diplopia after operation, which all returned to normal within 1 month. Navigation-guided sinus endoscopy through the sphenoid approach is effective and feasible in the removal of the cavernous hemangioma of the orbital apex. .
探讨导航引导下经蝶窦入路鼻内镜切除眶尖海绵状血管瘤的可行性。回顾性病例系列研究。2012年5月至2019年12月，南昌大学附属眼科医院收集了12例（12只眼）眶尖海绵状血管瘤影像学表现的患者，其中男性3例，女性9例，年龄32至59岁。所有患者均接受导航引导下经蝶窦入路鼻窦内镜切除眶尖海绵状血管瘤（附视频）。分析术后视觉功能变化及并发症情况。3例术前无视力损害的患者术后视觉功能仍正常。其余9例术前有视力损害的患者中，术后3例视觉功能完全恢复，2例改善，4例无变化。12例患者中3例无并发症，9例术后出现短暂性、轻度眼球内转受限伴复视，均在1个月内恢复正常。导航引导下经蝶窦入路鼻窦内镜切除眶尖海绵状血管瘤有效且可行。
