A modified Krönlein operation.

A modified Krönlein operation.
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改进的 Krönlein 操作。

DOI:
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发表时间:
1954
期刊:
Transactions of the American Ophthalmological Society
影响因子:
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通讯作者:
R. Berke
R. Berke
中科院分区:
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文献类型:
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作者:
R. Berke

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1888年,Kronlein描述了一种切除眼眶外侧壁以去除眼眶皮样瘤的巧妙手术。1多年来,这是治疗球后肿瘤的首选方法,但近年来,由于以下几个原因,它在许多地方已被废弃:(1)使用Gigli锯进行的手术在技术上并不容易;(2)有时会产生难看的疤痕。(图1);(3)经常缺乏足够的工作空间(图2),(4)其他程序 * 在某些地方完全取代了Kronlein手术。本文的目的是提出一种简化的Kronlein手术,该手术相对容易,将提供更大的暴露,将留下不明显的疤痕,并且本身不会对眼眶或眶周结构造成损伤。眼眶外侧壁的解剖幸运的是,外侧壁的构造使得
AN INGENIOUS operation for resection of the lateral wall of the orbit for the removal of orbital dermoids was described by Kronlein in 1888. 1 For many years this was the method of choice for the treatment of retrobulbar tumors, but of late years it has fallen into disuse in many places for several reasons: (1) The procedure as done with the Gigli saw was technically not easy; (2) an unsightly scar sometimes resulted (Fig. 1); (3) adequate working space often was lacking (Fig. 2), and (4) other procedures * completely replaced the Kronlein operation in some places. The purpose of this article is to present a simplified Kronlein operation which is relatively easy, will give greater exposure, will leave an inconspicuous scar, and, of itself, can do no damage to the orbital or periorbital structures. ANATOMY OF LATERAL WALL OF THE ORBIT Fortunately, the lateral wall is so constructed that