The complications of traumatic optic neuropathy / 临床耳鼻咽喉头颈外科杂志

Objective:To investigate the complications of traumatic optic neuropathy and to call the surgeons' attention to precaution. Method:Retrospectively analysis of 122 cases patients with traumatic optic neuropathy and 3 cases were analyzed in detail including 1 case with purulent meningitis, another 1 case with internal carotid artery pseudoaneurysm and the other 1 case with internal carotid artery cavernous sinus fistula. Result:Most of the patients had the complications of orbital fracture, maxillofacial fracture, ocular and craniocerebral injury. A few of patients had other injuries all over the body. The case with purulent meningitis was cured with antibiotics. The case with internal carotid artery pseudoaneurysm was cured with neurosurgery. The visual acuity of the both cases were improved. The case with internal carotid artery cavernous sinus fistula died of severe hemorrhea. Conclusion: The patient with traumatic optic neuropathy has the possibility of severe cranial disorders,orbital fracture, maxillofacial fracture and injuries of viscera or limbs. It should be paid mare attention and treated accordingly.

The complications of traumatic optic neuropathy / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To investigate the complications of traumatic optic neuropathy and to call the surgeons attention to precaution.@*METHOD@#Retrospectively analysis of 122 cases patients with traumatic optic neuropathy and 3 cases were analyzed in detail including 1 case with purulent meningitis, another 1 case with internal carotid artery pseudoaneurysm and the other 1 case with internal carotid artery cavernous sinus fistula.@*RESULT@#Most of the patients had the complications of orbital fracture, maxillofacial fracture, ocular and craniocerebral injury. A few of patients had other injuries all over the body. The case with purulent meningitis was cured with antibiotics. The case with internal carotid artery pseudoaneurysm was cured with neurosurgery. The visual acuity of the both cases were improved. The case with internal carotid artery cavernous sinus fistula died of severe hemorrhage.@*CONCLUSION@#The patient with traumatic optic neuropathy has the possibility of severe cranial disorders, orbital fracture, maxillofacial fracture and injuries of viscera or limbs. It should be paid more attention and treated accordingly.

Influence of the physical growth and neuropsychological characteristic in children with obstructive sleep apnea hypopnea syndrome / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To explore the influence of obstructive sleep apnea hypopnea syndrome (OSAHS) on physical growth and neuropsychological characteristic of children.@*METHOD@#Eighty-two cases with OSAHS were examined by PSG, and divided to mild, moderate and severe group according to AHI, and 40 healthy children were selected as control group. Physical and mental development were evaluated on the basis of growth and neurodevelopmental assessments, respectively. Psychological behavior were assessed by Wechsler Intelligence Scale for Children Chinese Version and Achenbach Child Behavior checklist.@*RESULT@#(1) The children of mild group were lower than the control group in the height and sitting height. The children of moderate and severe group were significantly lower than the control group in physical growth. (2) The children of mild group showed no difference compared with control group in Wechsler Intelligence Scale test. The moderate group were lower than control group in some test. Mean verbal IQ (VIQ), performance IQ (PIQ) and total scores in cognitive tests for severe groups were within the normal range, but lower than those of controls. (3) Melancholy, disobey, schizophreniform anxiety and offensive behavior were more common in male children with OSAHS than controls. While, offensive behavior, hyperactivity and aggressive behavior were more common in female children with OSAHS than controls.@*CONCLUSION@#The physical growth and neuropsychological characteristic can be influenced by obstructive sleep apnea hypopnea syndrome in children, and treatment ought to be done as early in case of the severity of the disease is aggravated.

Anatomical Variations of the Nose in Children Receiving Endoscopic Sinus Surgery / 中国微创外科杂志

Objective To evaluate the outcomes of endoscopic sinus surgery (ESS) for children with chronic rhinosinusitis, who had no response to medication. Methods A total of 112 children (aged 12 to 17 years) with chronic rhinosinusitis caused by abnormal anatomy of the nose cavity were treated by ESS in our hospital. Septorhinoplasty was performed on the patients under an endoscope. Conchoplasty, adenoidectomy, or nasal polypectomy was performed simultaneously if necessary. Results The patients were followed up for 6-23 months (mean 13 months). The symptoms of rhinosinusitis disappeared in 110 patients (98.2%); whereas the other 2 patients showed no obvious improvement after the operation. Conclusions By using microinvasive ESS combined with conchoplasty, children with rhinosinusitis caused by abnormal anatomy that does not respond to medication could be cured.