Zhonghua yi xue za zhi · 2014
[Transnasal endoscopic management of foreign body injuries at orbital-skull base].
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Kang Jun, Fu Jidi, Zhou Jun, Liu Haocheng, Dong Hao, Sun Si, Yang Peng, Wu Jiangping, Qiu E, Song Weixian
Аннотация
OBJECTIVE: To explore the feasibility and methods of transnasal endoscope for removing foreign bodies at orbital-skull base.
METHODS: Retrospective analyses were performed for 8 cases of foreign body injuries at orbital-skull base at our department from January 2009 to January 2014. The foreign bodies were metallic (n = 4) and wooden (n = 4). Six cases were only within orbit while the remainder had nasal-orbital foreign bodies. The symptoms included preoperative visual loss (n = 6), visual deterioration (n = 2) and eye movement disorder (n = 5). All underwent transnasal endoscopic removal.
RESULTS: Foreign bodies were totally removed. During a follow-up period of 3 months to 4 years, there was no recovery of preoperative visual loss (n = 6). Two patients with reduced vision recovered to normal after 3 months. Eye movement disorder fully recovered in 4 cases and 1 case of eye movement disorder had partial recovery.
CONCLUSION: Endoscopic removal of foreign body at orbital-skull base has the advantage of mini-invasiveness and non-facial surgical scar.
METHODS: Retrospective analyses were performed for 8 cases of foreign body injuries at orbital-skull base at our department from January 2009 to January 2014. The foreign bodies were metallic (n = 4) and wooden (n = 4). Six cases were only within orbit while the remainder had nasal-orbital foreign bodies. The symptoms included preoperative visual loss (n = 6), visual deterioration (n = 2) and eye movement disorder (n = 5). All underwent transnasal endoscopic removal.
RESULTS: Foreign bodies were totally removed. During a follow-up period of 3 months to 4 years, there was no recovery of preoperative visual loss (n = 6). Two patients with reduced vision recovered to normal after 3 months. Eye movement disorder fully recovered in 4 cases and 1 case of eye movement disorder had partial recovery.
CONCLUSION: Endoscopic removal of foreign body at orbital-skull base has the advantage of mini-invasiveness and non-facial surgical scar.