Tjon F, Sang M, Knegt P, Wijngaarde R, Poublon R, van der Schans E, Krenning E
Department of Otolaryngology, University Hospital Rotterdam, The Netherlands.
Clin Otolaryngol Allied Sci. 1994 Aug;19(4):290-4. doi: 10.1111/j.1365-2273.1994.tb01233.x.
Seventy-five patients with Graves' disease have been treated by transantral orbital decompression. In the first post-operative month the average reduction in proptosis was 3 mm. In the years following the operation this reduction increased to an average of 4.5 mm. In 32% of the patients without diplopia before surgery, the diplopia that developed afterwards did not disappear, 83% of them were successfully treated by extraocular muscle surgery. Seventy per cent of the patients experienced immediate post-operative improvement of visual acuity. Only three patients remained with anaesthesia of the infra-orbital nerve. A total of 65% of the patients found the operation procedure beneficial while 76% were satisfied with the ophthalmological result. We conclude, that transantral orbital decompression, though with moderate morbidity, gives good results in patients with the orbital complications of Graves' disease.
75例格雷夫斯病患者接受了经鼻窦眼眶减压术治疗。术后第一个月，眼球突出平均减少3毫米。术后几年，这种减少增加到平均4.5毫米。在术前无复视的患者中，有32%术后出现的复视未消失，其中83%通过眼外肌手术成功治愈。70%的患者术后视力立即改善。只有3例患者眶下神经出现麻醉。共有65%的患者认为手术过程有益，76%的患者对眼科治疗结果满意。我们得出结论，经鼻窦眼眶减压术虽然发病率中等，但对格雷夫斯病眼眶并发症患者疗效良好。
