POSTERIOR ISCHEMIC OPTIC NEUROPATHY FOLLOWING BILATERAL RADICAL NECK DISSECTION

被引：40
|
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
收藏
页码：283 / 287
页数：5
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