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  • Title: [Orbital surgery by transnasal endoscopic ethmoidal-lamina papyracea approach].
    Author: Xu G, Li Y, Xie M, Shi J, Chen H, Wen W, Zhang G, Liu X, Xu R, Lü J.
    Journal: Zhonghua Er Bi Yan Hou Ke Za Zhi; 2002 Oct; 37(5):360-2. PubMed ID: 12772457.
    Abstract:
    OBJECTIVE: To explore the feasibility of transnasal endoscopic surgery to treat some kinds of diseases within orbit by ethmoidal-lamina papyracea approach, and put forward the basic principle of surgical management. METHODS: A total of 10 cases undergone the endoorbital operation by transnasal endoscopic ethmoidal-lamina papyracea approach, including foreign body 4 cases, sponge haemangioma 1 case, invaded and metastatic carcinoma 5 cases. RESULTS: Successful removing of foreign body from endoorbital for 3 cases, and 1 failure. One case of sponge haemangioma was removed completely. One case of metastatic tumour from nasopharyngeal carcinoma was resected, with no relapse and vision recovered to 0.6 during follow-up period of 4 years. Four cases of invaded carcinoma from ethmosphenoidal sinus were resected completely. Follow-up for 1-4 years showed no relapse. CONCLUSION: The endoorbital region inside the optic nerve can be controlled by transnasal endoscopic ethmoidal-lamina papyracea approach. The advanced radiotherapy provides favourable conditions for conservative surgery of endoorbital carcinoma.
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