갑상선 눈병증에서 안와 감압술시 정위적 수술항해 장치의 효과

• 영문명: Evaluation of Stereotactic Navigation During Orbital Decompression in Thyroid-Associated Orbitopathy Patients
• 발행기관: 대한안과학회
• 저자명: 임경섭 이정규,Kyung Sup Lim, MD, Jeong Kyu Lee, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number3, 337~342쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.03.15

영문 초록

Purpose: To evaluate the use of stereotactic navigation during orbital decompression surgery. Methods: We conducted a retrospective analysis of 27 patients (48 orbits) with thyroid-associated orbitopathy who underwent orbital decompression. Stereotactic navigation was performed on 28 orbits of 15 patients, and orbital decompression surgery without navigation was performed on 20 orbits of 12 patients. The changes in medial wall, lateral wall and inferior wall orbital volume in CT scans and horizontal and vertical eyeball deviation after surgery were analyzed in the 2 patient groups. Results: The mean decompressed volume of orbits was significantly increased in the lateral wall decompression with stereotactic navigation patient group than without stereotactic navigation (p < 0.05, p = 0.025). However, in the inferior wall and the medial wall decompression, there was no significant difference between the 2 groups. The changes of horizontal and vertical deviation were not significant between the 2 groups and no patient experienced neural damage. Conclusions: The stereotactic navigation during lateral orbital wall decompression is a safe and effective method for inducing greater decompressed volume. J Korean Ophthalmol Soc 2014;55(3):337-342

키워드

Computed tomography, Lateral wall decompression, Navigation, Orbital decompression