双甲状腺视神经病变的外科治疗:一个系统性审查
A Meunier1, M Haissaguerre2, C Majoufre1
1Univ. Bordeaux, CHU Bordeaux, Service de Chirurgie Maxillo-Faciale et Stomatologie, F-33000 Bordeaux, France.
Journal of stomatology, oral and maxillofacial surgery
|September 4, 2023
概括
对于状腺视神经病变 (DON) 的手术减压可以改善视力敏度 (VA). 虽然三壁解压提供了最好的结果,但一壁或两壁技术提供了有效的结果,并发症率较低.
科学领域:
- 眼科医生 眼科 眼科
- 神经外科 神经外科
- 内分泌学 在内分泌学.
背景情况:
- 由于缺乏标准化的外科推,状腺视神经病变 (DON) 在管理方面存在重大挑战.
- 对DON的最佳外科手术策略对于改善视觉敏度 (VA) 和减少亡至关重要.
结论:
- 三壁解压似乎是最有效的VA改善和减少proptosis,但携带NOD和并发症的风险更高.
- 一壁或两壁解压提供了有效性和降低发病率的平衡,代表了对DON管理的可行的手术选择.
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