POSTERIOR ISCHEMIC OPTIC NEUROPATHY FOLLOWING BILATERAL RADICAL NECK DISSECTION

被引：39

作者：

SCHOBEL, GA ^{[1
]}

SCHMIDBAUER, M ^{[1
]}

MILLESI, W ^{[1
]}

UNDT, G ^{[1
]}

机构：

[1] UNIV VIENNA,INST NEUROL,A-1090 VIENNA,AUSTRIA

来源：

INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY | 1995年 / 24卷 / 04期

关键词：

ISCHEMIC OPTIC NEUROPATHY; NECK DISSECTION; BILATERAL;

D O I：

10.1016/S0901-5027(95)80030-1

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

A patient is presented with posterior ischemic optic neuropathy (PION) after bilateral radical neck dissection, probably caused by hemodynamic hypotension, combined with other factors. A postmortem histologic study of the optic nerve was performed to analyze the pathogenic mechanism of blindness. To prevent this complication, one should favor a two-stage procedure, avoiding drug-induced hypotension, overtransfusion, and anemia. During the postoperative period, visual acuity should be monitored regularly, and proper positioning of the patient's head is necessary.

引用

页码：283 / 287

页数：5

共 23 条

[1] BILATERAL RADICAL NECK DISSECTION - REPORT OF RESULTS IN 55 PATIENTS [J].