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眼周及眼眶手术:十字路口

English | PDF EPUB (True) | 2023 | 338 Pages | ISBN : 3031406966 | 159.5 MB

This textbook sheds new light on pathology in and around the orbit, which is typically an area where many medical disciplines overlap. Each physician brings a specific expertise, but the goal should be that the end result of all this input is much more than the sum of the parts. Collaboration, insight and overall knowledge of all parties involved are essential to achieve an optimal patient outcome. Oral and Maxillofacial surgeons have traditionally focused on the bony parts of the orbit, but usually have limited knowledge of the intricacies of binocular single vision, and for the Ophthalmologist it may be the other way around. In the past, scientific articles were often written from a single point of view, resulting in tunnel vision for the physician. The multidisciplinary approach to the orbit leads to an improvement in treatment that should not be underestimated and from which the patient benefits immensely. But especially for the physician and the trainees, a multidisciplinary consultation is a real goldmine in which a lot can be gained. Not every medical problem needs to be tackled in a multidisciplinary framework, but problems around the eye socket often do.

At Amphia Hospital in Breda, the Netherlands, more than fifteen years ago, a collaboration between Oral and Maxillofacial Surgeons, Endocrinologists, Radiologists and Ophthalmologists was initiated, which has proven to be very fruitful. The main focus was on Graves' Orbitopathy and orbital fractures, but problems associated with these conditions were also frequently encountered.

For those who want to follow this example, or for those who are interested in both orbital surgery, anatomy or ophthalmological orbital issues, this book could prove to be complementary.


这本教科书为眼眶及其周围区域的病理学提供了新的见解,通常这是许多医学学科交汇的地方。每位医生都带来了特定的专业知识,但所有这些输入的结果应远超各部分之和。协作、洞见以及各方的整体知识对于实现最佳患者结果至关重要。 口腔颌面外科传统上专注于眼眶中的骨骼部分,但他们通常对双眼单视的复杂性知之甚少;而对于眼科医生来说情况可能恰恰相反。在过去,科学文章往往是从单一角度撰写而成,导致医师出现隧道视野效应。多学科方法应用于眼眶问题能够带来显著的治疗改进,这一点不应被低估,并且这对患者非常有益。但对于医师和培训生而言,多学科会诊是一笔真正的财富,在其中可以收获颇丰。并非每种医疗问题都需要在多学科框架下解决,但围绕眼窝的问题通常需要这样处理。 荷兰布雷达阿姆菲亚医院早在十几年前就开启了口腔颌面外科医生、内分泌科医生、放射科医生和眼科医生之间的合作,并且证明这种合作非常有益。主要关注领域包括格雷夫斯眼突症和眼眶骨折,但这些病症所引发的问题也经常遇到。 对于希望追随这一模式的人或者对眼部手术解剖学或眼科眼窝问题感兴趣的读者来说,这本书可能具有补充价值。
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