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目的探讨眼眶骨瘤的临床特征及其手术方法。方法报道冠状入路经颅切除的巨大眼眶骨瘤1例病历资料,并通过Pubmed检索近10年中相关眼眶骨瘤的文献,查找病例数在3例及以上的非动物试验文献,进行汇总报告。结果共6篇67例眼眶骨瘤文献入选,眼眶骨瘤最多源于额窦和筛窦骨瘤,其中全切55例(82.1%),部分切除12例(17.9%),手术方法包括经颅、经眶以及鼻内镜手术等。结论眼眶骨瘤的手术路径需要综合考虑肿瘤的大小、位置,冠状切口经颅入路适用于眼眶内深在或者较大的肿瘤。
Objective To investigate the clinical features and surgical methods of orbital osteoma. Methods One case of huge orbital bone tumor resected by coronal approach was reported, and the literature of related orbital osteoma was searched by Pubmed in the past 10 years. The non-animal experimental data of 3 cases and above were searched and the summary report . Results A total of 67 cases of orbital osteoma were enrolled in this study. Orbital osteoma originated from the frontal sinus and ethmoid sinus tumor, of which 55 cases (82.1%) were partially resected and 12 cases (17.9%) partially resected. Surgical methods included transcranial , Through the orbital and endoscopic sinus surgery. Conclusion The surgical path of orbital bone tumors need to consider the size and location of the tumor. Transcranial approach with coronal incision is suitable for deep or larger orbital tumors.