跨轨道内镜方法:在轨道外科手术中的应用
Jessica Y Tong1, Jeffrey Sung2, WengOnn Chan1
1South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, Australia; Discipline of Ophthalmology and Vision Sciences, University of Adelaide, Adelaide, Australia; Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
Survey of ophthalmology
|November 9, 2025
概括
通过轨道内镜方法 (TEA) 为轨道外科手术提供了最少的侵入性选择. 这些技术为各种轨道病理提供了有利的结果,具有较低的永久后果风险.
科学领域:
- 神经外科 神经外科
- 眼科医生 眼科 眼科
- 最少侵入性的手术
背景情况:
- 在过去的二十年中,轨道内镜方法 (TEAs) 已经显著发展.
- 在命名上,TEA和跨轨道神经内镜手术之间的区别可能是模糊的.
- 本综述专注于主要轨道病理的TEAs.
研究的目的:
- 审查当前关于用于初级轨道病理的跨轨道内镜方法的文献.
- 讨论TEA的演变,应用和结果.
- 突出TEA在轨道外科手术中的优点和局限性.
主要方法:
- 对临床前尸体解剖研究的审查.
- 分析临床病例报告和病例系列.
- 专注于详细介绍主要轨道病变的TEA的文献.
主要成果:
- 早期的TEA主要通过上盖纹切口进入轨道屋顶病变.
- TEAs已经扩大到解决外和内空间的病变,以及轨道顶部.
- 临床系列报告了有利的结果,永久性功能后续的风险很低.
结论:
- 跨轨道内镜方法越来越多地用于各种轨道病理.
- 测试器具有良好的安全性,且永久性功能缺陷的风险最小.
- 需要进一步讨论TEA的优点和局限性.
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