Nishida手术治疗第六神经麻痹后不同定位方法复位诱导垂直偏差的比较。

IF 2.6 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES
PLoS ONE Pub Date : 2025-07-30 eCollection Date: 2025-01-01 DOI:10.1371/journal.pone.0329139
Chong-Bin Tsai, Chien-Liang Fang
{"title":"Nishida手术治疗第六神经麻痹后不同定位方法复位诱导垂直偏差的比较。","authors":"Chong-Bin Tsai, Chien-Liang Fang","doi":"10.1371/journal.pone.0329139","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Induced vertical deviation is a potential complication following the Nishida procedure for the treatment of sixth nerve palsy. This study aims to compare different positioning techniques for the reduction of this complication.</p><p><strong>Methods: </strong>We retrospectively examined medical records from consecutive patients who underwent the Nishida procedure, classifying them into three positioning groups: intra-quadrant (IQP), lateral rectus border (LRBP), and horizontal meridian (HMP). Surgical and pre/postoperative data were compared.</p><p><strong>Results: </strong>Among the 27 included patients (8 IQP, 9 LRBP, 10 HMP), all three groups demonstrated similar reductions in esodeviation: IQP, 44.0 ± 18.7 Prism Diopters (PD); LRBP, 42.2 ± 15.3 PD; HMP, 42.2 ± 7.8 PD; (P = 0.675). After surgery, one patient in the IQP group developed hypertropia of 18 PD, necessitating a secondary surgery to treat the vertical diplopia. In the LRBP group, two patients had hypotropia of 30 PD and 10 PD, respectively, and one patient had hypertropia of 6 PD. In the HMP group, one patient initially had hypertropia of 2 PD, which resolved during subsequent follow-up. A lower incidence of induced vertical deviation was observed in the HMP (10%) and IQP (13%) groups compared to the LRBP group (33%). However, this difference did not reach statistical significance due to the small sample size.</p><p><strong>Conclusion: </strong>There is no statistically significant difference among the three positioning techniques (IQP, LRBP, HMP) in the correction of esodeviation and reduction of incidence of induced vertical deviation following Nishida procedure.</p>","PeriodicalId":20189,"journal":{"name":"PLoS ONE","volume":"20 7","pages":"e0329139"},"PeriodicalIF":2.6000,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309997/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparison of different positioning techniques for reduction of induced vertical deviation following Nishida procedure for the treatment of sixth nerve palsy.\",\"authors\":\"Chong-Bin Tsai, Chien-Liang Fang\",\"doi\":\"10.1371/journal.pone.0329139\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Induced vertical deviation is a potential complication following the Nishida procedure for the treatment of sixth nerve palsy. This study aims to compare different positioning techniques for the reduction of this complication.</p><p><strong>Methods: </strong>We retrospectively examined medical records from consecutive patients who underwent the Nishida procedure, classifying them into three positioning groups: intra-quadrant (IQP), lateral rectus border (LRBP), and horizontal meridian (HMP). Surgical and pre/postoperative data were compared.</p><p><strong>Results: </strong>Among the 27 included patients (8 IQP, 9 LRBP, 10 HMP), all three groups demonstrated similar reductions in esodeviation: IQP, 44.0 ± 18.7 Prism Diopters (PD); LRBP, 42.2 ± 15.3 PD; HMP, 42.2 ± 7.8 PD; (P = 0.675). After surgery, one patient in the IQP group developed hypertropia of 18 PD, necessitating a secondary surgery to treat the vertical diplopia. In the LRBP group, two patients had hypotropia of 30 PD and 10 PD, respectively, and one patient had hypertropia of 6 PD. In the HMP group, one patient initially had hypertropia of 2 PD, which resolved during subsequent follow-up. A lower incidence of induced vertical deviation was observed in the HMP (10%) and IQP (13%) groups compared to the LRBP group (33%). However, this difference did not reach statistical significance due to the small sample size.</p><p><strong>Conclusion: </strong>There is no statistically significant difference among the three positioning techniques (IQP, LRBP, HMP) in the correction of esodeviation and reduction of incidence of induced vertical deviation following Nishida procedure.</p>\",\"PeriodicalId\":20189,\"journal\":{\"name\":\"PLoS ONE\",\"volume\":\"20 7\",\"pages\":\"e0329139\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-07-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309997/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"PLoS ONE\",\"FirstCategoryId\":\"103\",\"ListUrlMain\":\"https://doi.org/10.1371/journal.pone.0329139\",\"RegionNum\":3,\"RegionCategory\":\"综合性期刊\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"MULTIDISCIPLINARY SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"PLoS ONE","FirstCategoryId":"103","ListUrlMain":"https://doi.org/10.1371/journal.pone.0329139","RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"MULTIDISCIPLINARY SCIENCES","Score":null,"Total":0}
引用次数: 0

摘要

目的:诱导垂直偏移是西田手术治疗第六神经麻痹的潜在并发症。本研究旨在比较不同的定位技术,以减少这种并发症。方法:我们回顾性分析了连续接受Nishida手术的患者的病历,将其分为三个定位组:象限内(IQP)、外直肌边界(LRBP)和水平经络(HMP)。比较手术和术前/术后数据。结果:27例患者(IQP 8例,LRBP 9例,HMP 10例)中,三组内偏均有相似的降低:IQP为44.0±18.7 Prism Diopters (PD);Lrbp, 42.2±15.3 pd;Hmp, 42.2±7.8 pd;(p = 0.675)。术后,IQP组1例患者出现18pd远视,需要二次手术治疗垂直性复视。在LRBP组中,2例患者分别有30pd和10pd的低视,1例患者有6pd的远视。在HMP组中,一名患者最初有2 PD的斜视,在随后的随访中消退。与LRBP组(33%)相比,HMP组(10%)和IQP组(13%)诱导垂直偏差发生率较低。但由于样本量小,这种差异没有达到统计学意义。结论:三种定位技术(IQP、LRBP、HMP)在矫正内偏和降低Nishida手术后诱发垂直偏发生率方面差异无统计学意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Comparison of different positioning techniques for reduction of induced vertical deviation following Nishida procedure for the treatment of sixth nerve palsy.

Comparison of different positioning techniques for reduction of induced vertical deviation following Nishida procedure for the treatment of sixth nerve palsy.

Comparison of different positioning techniques for reduction of induced vertical deviation following Nishida procedure for the treatment of sixth nerve palsy.

Comparison of different positioning techniques for reduction of induced vertical deviation following Nishida procedure for the treatment of sixth nerve palsy.

Purpose: Induced vertical deviation is a potential complication following the Nishida procedure for the treatment of sixth nerve palsy. This study aims to compare different positioning techniques for the reduction of this complication.

Methods: We retrospectively examined medical records from consecutive patients who underwent the Nishida procedure, classifying them into three positioning groups: intra-quadrant (IQP), lateral rectus border (LRBP), and horizontal meridian (HMP). Surgical and pre/postoperative data were compared.

Results: Among the 27 included patients (8 IQP, 9 LRBP, 10 HMP), all three groups demonstrated similar reductions in esodeviation: IQP, 44.0 ± 18.7 Prism Diopters (PD); LRBP, 42.2 ± 15.3 PD; HMP, 42.2 ± 7.8 PD; (P = 0.675). After surgery, one patient in the IQP group developed hypertropia of 18 PD, necessitating a secondary surgery to treat the vertical diplopia. In the LRBP group, two patients had hypotropia of 30 PD and 10 PD, respectively, and one patient had hypertropia of 6 PD. In the HMP group, one patient initially had hypertropia of 2 PD, which resolved during subsequent follow-up. A lower incidence of induced vertical deviation was observed in the HMP (10%) and IQP (13%) groups compared to the LRBP group (33%). However, this difference did not reach statistical significance due to the small sample size.

Conclusion: There is no statistically significant difference among the three positioning techniques (IQP, LRBP, HMP) in the correction of esodeviation and reduction of incidence of induced vertical deviation following Nishida procedure.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
PLoS ONE
PLoS ONE 生物-生物学
CiteScore
6.20
自引率
5.40%
发文量
14242
审稿时长
3.7 months
期刊介绍: PLOS ONE is an international, peer-reviewed, open-access, online publication. PLOS ONE welcomes reports on primary research from any scientific discipline. It provides: * Open-access—freely accessible online, authors retain copyright * Fast publication times * Peer review by expert, practicing researchers * Post-publication tools to indicate quality and impact * Community-based dialogue on articles * Worldwide media coverage
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信