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30.10.2017 | Diplopie | CME

Orbitadekompression

Indikationen, Operationstechnik, Ergebnisse

verfasst von: Prof. Dr. Dr. H.-J. Welkoborsky, S. K. Graß, J. Küstermeyer, K. V. Steinke

Erschienen in: HNO | Ausgabe 12/2017

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Zusammenfassung

Die Orbitadekompression ist ein wirksamer Eingriff zur Senkung des intraorbitalen Drucks. Ursächlich können Erkrankungen mit schneller Druckerhöhung sein, z. B. Einblutungen, und solche mit langsamer Drucksteigerung, z. B. Tumoren oder endokrine Orbitopathie. Bei der reinen Fettgewebsdekompression wird peri- und retrobulbäres Fettgewebe aus der Orbita entnommen, bei der knöchernen Dekompression werden knöcherne Wandungen entfernt (1-Wand, 2‑Wand oder 3‑Wand-Dekompression). Häufig werden beide Verfahren miteinander kombiniert. Neuere Entwicklungen sind die transkonjunktivalen Zugangswege, über die ebenfalls Teile der knöchernen Wände reseziert werden können. Komplikationen sind Doppelbilder, die je nach Op.-Methode in bis zu 30 % der Fälle auftreten können, sowie Blutungen, Infektionen, Entwicklung einer chronischen Sinusitis und Läsionen der Dura mit konsekutiver Meningitis. In der Hand des erfahrenen Nasennebenhöhlen- und Kopf-Hals-Chirurgen ist der Eingriff komplikationsarm.

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Titel: Orbitadekompression
Indikationen, Operationstechnik, Ergebnisse
verfasst von: Prof. Dr. Dr. H.-J. Welkoborsky
S. K. Graß
J. Küstermeyer
K. V. Steinke
Publikationsdatum: 30.10.2017
Verlag: Springer Medizin
Schlagwort: Diplopie
Erschienen in: HNO / Ausgabe 12/2017
Print ISSN: 0017-6192
Elektronische ISSN: 1433-0458
DOI: https://doi.org/10.1007/s00106-017-0429-6

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Springer Medizin

Orbitadekompression

Indikationen, Operationstechnik, Ergebnisse

Zusammenfassung

Neu im Fachgebiet HNO

HNO-Op. auch mit über 90?

Intrakapsuläre Tonsillektomie gewinnt an Boden

Bilateraler Hörsturz hat eine schlechte Prognose

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

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Springer Medizin

Zusammenfassung

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