JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2014, Vol. 28 ›› Issue (4): 40-42.doi: 10.6040/j.issn.1673-3770.0.2014.122

Previous Articles     Next Articles

Management of the intraorbital and orbital wall disease by the intranasal endoscopic approach

TAO Jing1,2, LU Yong-tian1, WANG Xiao-bin1, LIU Gui-qin3, GUO Jiang4   

  1. 1. Department of Otolaryngology & Head and Neck Surgery, Shenzhen Second People's Hospital, Shenzhen 518035, Guangdong, China;
    2. Guangzhou Medical University, Guangzhou 510182, Guangdong, China;
    3. Shenzhen Ophthalmologic Hospital, Shenzhen 518040, Guangdong, China;
    4. Department of Ophthalmology, Shenzhen Second People's Hospital, Shenzhen 518035, Guangdong, China
  • Received:2014-04-18 Online:2014-08-16 Published:2014-08-16

Abstract: Objective To investigate the endoscopic operative technique and efficacy for orbital and orbital lesions. Methods The clinical data of 48 cases of orbital lesions were retrospectively analyzed. The observation group of 23 patients was treated by endoscopic surgery without orbital wall reconstruction. The control group consisting of 25 cases was treated by traditional subconjunctival approach using titanium mesh and porous polyethylene sheet implants (MEDPOR) to perform orbital wall reconstruction. Results During a follow-up period of 6 months, there were no significant differences in efficacy; the hospital stay and hospitalization costs in the observation group were all better than the control group (P<0.05). Conclusion Endoscopic treatment of orbital and orbital lesions is effective and has certain advantages.

Key words: Orbital diseases, Nasal endoscopic surgical procedures, operative, Reconstruction surgery

CLC Number: 

  • R765.9
[1] 张革化, 王志远.经鼻内镜鼻眼相关外科进展[J].山东大学耳鼻喉眼学报, 2011, 25(1):46-48, 53.
[2] 李东云.鼻内镜外科治疗鼻眼相关疾病的进展[J].微创医学, 2007, 4(2):324-326.
[3] 宋西成.眶内壁骨折(眶内血气肿)[M]//张庆泉, 宋洁.鼻相关外科学.长春:吉林科学技术出版社, 2005:147-151.
[4] Chang E W, Manolidis S. Orbital floor fracture management[J]. Facial Plast Surg, 2005, 21(3):207-213.
[5] 吴莹, 孙志敏, 宋愈.不同材料眶内植入物在眼窝重建中的应用[J].中国组织工程研究与临床康复, 2010, 14(21):3931-3934.
[6] Hinohira Y, Takahashi H, Komori M, et al. Endoscopic endonasal management of medial orbital blowout fractures[J]. Facial Plast Surg, 2009, 25(1):17-22.
[7] Kunz C, Sigron G R, Jaquiery C. Functional outcome after non-surgical management of orbital fractures-the bias of decision-making according to size of defect: critical review of 48 patients[J]. Br J Oral Maxillofac Surg, 2013, 51(6):486-492.
[8] Castelnuovo P, Dallan I, Locatelli D, et al. Endoscopic transnasal intraorbital surgery: our experience with 16 cases[J]. Eur Arch Otorhinolaryngol, 2012, 269(8):1929-1935.
[9] McKinney K A, Snyderman C H, Carrau R L, et al. Seeing the light:endoscopic endonasal intraconal orbital tumor surgery[J]. Otolaryngol Head Neck Surg, 2010, 143(5):699-701.
[10] Stippler M, Gardner P A, Snyderman C H, et al. Endoscopic endonasal approach for clival chordomas[J]. Neurosurgery, 2009, 64(2):268-278.
[1] SUN Yiqing, PENG Bengang, WANG Xin, MIAO Xutao. Endoscopic intranasal structure reconstruction surgery  in treating rhinogenic headache [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(4): 50-52.
[2] SUN Yan,ZHANG Qing-quan,ZHANG Hua,SONG Xi-cheng,ZHAO Li-min,WANG Yan,JIANG Shao-hong,WANG Qiang . Heterogenerty (cattle) acellular dermal matrix repairing mucosa in otolaryngology reconstruction surgeries [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(4): 316-319 .
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!