Stoll W, Busse H, Wessels N
Universitäts-HNO-Klinik Münster.
HNO. 1994 Nov;42(11):685-90.
Orbital complications of various pathogenesis include impairment or loss of vision inhibition of globe motility and exophthalmos, and are treated best by an interdisciplinary team. Preoperative strategy should include information about underlying diseases, since success of treatment is related to diagnosis. To analyse our postoperative results we examined four groups of cases: injuries, tumors, infections and mucoceles. Diseases were located in the orbit or paranasal sinuses and produced similar symptoms. But prognosis and results of surgical treatment produced significant differences. The best improvement in vision was seen after treatment of inflammatory processes or after post-traumatic optic nerve decompression. An 88% improvement in globe motility and diplopia was seen in patients undergoing treatment for mucoceles, while a 95% improvement was found following transethmoidal surgery for inflammations of the paranasal sinuses. Overall results represent current trends for indications for surgical techniques employed to treat orbital and paranasal sinus disease.
各种发病机制的眼眶并发症包括视力损害或丧失、眼球运动受限和眼球突出，多学科团队联合治疗效果最佳。术前策略应包括基础疾病的相关信息，因为治疗成功与否与诊断有关。为分析我们的术后结果，我们检查了四组病例：损伤、肿瘤、感染和黏液囊肿。疾病位于眼眶或鼻窦，产生相似症状。但手术治疗的预后和结果存在显著差异。炎症性病变治疗后或创伤后视神经减压术后视力改善最佳。黏液囊肿患者眼球运动和复视改善率达88%，而鼻窦炎症经鼻内镜手术后改善率为95%。总体结果代表了当前治疗眼眶和鼻窦疾病所采用手术技术适应证的趋势。
