视力损失后的恢复 通过内镜进行内性压缩减压后的Iatrogenic轨道的恢复
Bayan Jan1, Naif Alfattani1, Riham Ali1
1Department of Otorhinolaryngology-Head and Neck Surgery, Al Noor Specialist Hospital, Makkah, Saudi Arabia.
Ear, nose, & throat journal
|September 25, 2023
概括
轨道是内镜外科手术 (ESS) 的罕见并发症. 这个案例突出了一个患者,在紧急治疗后恢复了视力,因为ESS后的轨道.
科学领域:
- 眼科医生 眼科 眼科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
背景情况:
- 在内镜外科手术 (ESS) 后,轨道并发症很常见,其中轨道血液瘤是最常见的.
- 轨道通常与鼻炎或创伤有关,并且在ESS后很少出现.
研究的目的:
- 在双边ESS之后报告一个罕见的轨道的病例.
- 讨论由于而导致严重视力丧失的患者的管理和意外视力恢复.
主要方法:
- 一位患者在ESS后出现了右轨道和视力丧失.
- 计算机断层扫描显示了纸层和肺的缺陷.
- 紧急内镜内道轨道减压进行,加上最大限度的医疗治疗.
主要成果:
- 患者仅经历了3天的视力损失到光感知.
- 医疗管理包括静脉注射皮质类固醇和广泛的抗生素.
- 患者意外地从失明中恢复过来.
结论:
- 受感染的停滞轨道静脉血瘤是ESS后轨道的潜在原因.
- 迅速的手术减压和积极的医疗治疗,即使在ESS后轨道的严重病例中,也可以带来良好的结果.
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