Refractory cranio-orbital surgery 1 patient with tumor.docVIP

 PAGE \* MERGEFORMAT 8 Refractory cranio-orbital surgery 1 patient with tumor [Keywords:] cranio-orbital tumor; surgery with Cranial tumors in the orbit as the main performance proptosis, almost all the cases reported in the literature have different degrees of exophthalmos. Exophthalmos tumor occupying the role of reason in addition, there are orbital venous obstruction and the ball of soft tissue and other factors. eye symptoms are also common symptoms, mainly due to the eye muscles and nerves were tumor compression dominated, pulling caused. eye movement disorder, cancer involving the superior orbital fissure, it can also affect the eye, nerve blocks and outreach, as well as the trigeminal nerve No. I support, there is limited eye movements, ptosis, mydriasis, decreased corneal reflex, and forehead skin sensory impairments. such as tumor suppression or violation of the optic nerve, there may be ipsilateral visual impairment, was primary optic atrophy. However, apart from optic nerve glioma or tough texture, holes in the optic nerve at the orbital apex tumor heavier on visual acuity, in general, orbital tumors are often relatively mild visual acuity [1]. Recently, I Branch joint ophthalmology, stomatology , maxillofacial surgery and other relevant experts, 1 patients with refractory tumors were cranio-orbital successful implementation of the minimally invasive surgery, surgery went well and lasted 5h, so that patients “hanging eye” reduction, the tumor successfully removed. At present, the patient has fully recovered, the head pain symptoms resolved, “hanging eye” disappears, the eye motor function and visual acuity returned to normal, restore the right face to the left of the face consistent with the normal. surgical success is closely tied to our operating room , now with the experience of surgery are summarized below. 1 Clinical data Patients, female, 36 years old the year 1999 suddenly does not feel right eye, and soon found that the Ministry