Superior oblique and inferior rectus muscle injury following frontal and intranasal sinus surgery.
Superior oblique and inferior rectus muscle injury following frontal and intranasal sinus surgery.
复制标题
额窦和鼻窦手术后上斜肌和下直肌损伤。
DOI：
10.3928/0191-3913-19850901-08
复制
发表时间：
1985
影响因子：
1.2
通讯作者：
W. Astle
中科院分区：
文献类型：
--
作者：
A. Rosenbaum;W. Astle
慢性炎症性鼻窦疾病是一种常见的疾病，有时需要鼻窦和鼻旁窦手术。眼外肌功能障碍是鼻窦手术罕见的手术并发症，但已有报道。先前的研究关注的是内直肌创伤导致的严重瘫痪或限制。这项研究报告了五名因鼻窦手术继发后天性斜视和症状性垂直复视的患者。在所有患者中，由此产生的复视都是致残的。四名患者接受了额窦开窗手术，切口位于眼眶上鼻象限，眉毛下方（改良的林奇切口）。三名患者出现上斜肌麻痹，第四名患者出现布朗综合征。皮肤切口的位置对于滑车区域的损伤至关重要。第五名患者接受了鼻息肉切除术和鼻窦造口术，并伴有继发性眼眶出血和眼球突出。结果是轻度的下直肌麻痹。
Chronic inflammatory sinus disease is a common process, sometimes requiring nasal and paranasal sinus surgery. Extraocular muscle dysfunction is a rare surgical complication of sinus surgery, but has been reported. Previous studies have been concerned with trauma to the medial rectus muscle resulting in severe paralysis or restriction. This study reports five patients with acquired strabismus and symptomatic vertical diplopia secondary to sinus surgery. In all patients, the resultant diplopia was disabling. Four patients had frontal sinus window surgery performed, with incisions placed in the supero-nasal quadrant of the orbit, below the eyebrow (a modified Lynch incision). Three patients acquired a superior oblique paresis and the fourth developed a Brown's syndrome. The location of the skin incision was critical to injury in the trochlear area. The fifth patient underwent a nasal polypectomy and antrostomy with secondary orbital hemorrhage and proptosis. A mild inferior rectus paresis was the result.