眶减压术作为眶尖部良性肿瘤的备选治疗策略
Orbital Decompression as an Alternative Management Strategy for Patients with Benign Tumors Located at the Orbital Apex作者机构：OculofacialOrbitand Aesthetic SurgeryMassachusetts Eye and Ear InfirmaryBostonMAUnited States Dr.
出 版 物：《世界核心医学期刊文摘(眼科学分册)》 (Digest of the World Core Medical Journals)
年 卷 期：2006年第11期
页 面：60-61页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
摘 要：Purpose:Tumors located in the intraconal portion of the orbital apex,especially those inferior to the optic nerve,can be difficult to access surgically,carrying a significant risk of ocular *** purpose of this study was to investigate outcomes in 5 patients with benign-appearing but symptomatic tumors located in the intraconal portion of the orbital apex in which orbital decompression was performed as an alternative management strategy to ***:Retrospective interventional case ***:Five patients were diagnosed with a compressive optic neuropathy secondary to a benign-appearing tumor at the orbital ***:Each patient underwent surgical decompression of the affected *** of the patients had the tumor biopsied or *** Outcome Measures:Best-corrected visual acuity(VA) ,pupillary responses,visual fields(VFs) ,color vision,and orbital ***:Each of the patients demonstrated improvement in visual function,as measured by VA,VFs,and,in some cases,color *** patient required a second orbital decompression for recurrent optic neuropathy 4 years after the initial *** included ptosis and enophthalmos in 2 patients and diplopia in the extreme right gaze in 1 ***:Orbital decompression is a therapeutic option for patients with compressive optic neuropathies from benign orbital apex tumors,offering potential improvement in optic nerve function while sparing morbidity from attempts at surgical resection.
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