阴鼻瘤的轨道并发症 阴鼻瘤的轨道并发症
Shilpa Susan Mathew1, Rajan Sundaresan1, Jayanthi Peter2
1Department of ENT Unit, Christian Medical College Vellore, Vellore, Tamil Nadu India.
概括
在鼻腔瘤中轨道的参与可能会导致亡和视力丧失. 大多数良性瘤允许保持轨道,而恶性瘤通常需要环球节约手术,在三分之一的病例中保持功能.
科学领域:
- 眼科医生 眼科 眼科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 在瘤学瘤学.
背景情况:
- 鼻瘤可以扩展到轨道,导致诸如亡,,视力障碍等症状.
- 了解轨道表现和管理策略对于保持视力和功能至关重要.
- 轨道干涉可能表明瘤慢性或侵略性行为.
研究的目的:
- 识别和描述阴道瘤的轨道表现.
- 概述轨道和视觉保护的管理策略.
- 评估结果,包括维护视力和生存率.
主要方法:
- 在10年内对147种带有轨道干涉的鼻病理进行了回顾性研究.
- 分析了35例被诊断为带有轨道干涉的鼻瘤的病例.
- 排除没有轨道干扰或主要轨道病理的鼻腔症状的患者.
主要成果:
- 良性和恶性鼻瘤分别影响了17名 (48.6%) 和18名 (51.4%) 患者的轨道卷入.
- 倒置乳头瘤和状细胞癌是最常见的良性和恶性诊断.
- 亡 (42.9%) 和眼部运动性减弱 (22.8%) 是常见的轨道症状;在所有良性病例和大多数恶性病例中都实现了轨道的保存.
结论:
- 在鼻瘤中轨道参与需要谨慎管理,以保持视力和功能.
- 带有轨道干涉的良性鼻瘤通常允许完全保留轨道.
- 虽然具有挑战性,但环球节约性手术可以在很大一部分恶性鼻瘤病例中保持轨道功能.
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