POSTOPERATIVE COMPLICATIONS OF ORBITAL TUMOR REMOVAL IN SARDJITO GENERAL HOSPITAL

Prasthiti Dewi Hasdini
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Abstract

Abstract Introduction & Objectives : Orbital tumor removal surgery represent a small but significant portion of ophthalmologic surgery, and few reports of the associated complications are available. The aim of this study is to report the complications of orbital tumor removal surgery in Sardjito General Hospital, Yogyakarta. Methods : Descriptive retrospective study was carried out 138 patients who undergone orbital tumor removal surgery during July 2021-March 2023. Surgery approach and postoperative complications were collected from medical record. Results : Of approximately 138 patients, 12 (8%) patients had postoperative complications. Five (5%) of 75 patients who undergone anterior orbitotomy had postoperative complications. One percent had lagophthalmos, 1% had ptosis, 2% had decreased vision, and 1% had ocular movement disorders. Lateral orbitotomy was done in 21 patients. Three (12%) patients had postoperative complications. Four percent had ptosis, 4% had decreased vision, and 4% had ocular movement disorders. Four (60%) of 6 patients who undergone medial orbitotomy had ptosis (16%) and decreased vision (50%). Posterior orbitotomy was done in 8 patients. One (12,5%) patient had complication of ptosis. Conclusion : Anterior orbitotomy was the most common surgery approach for orbital tumor removal. The most common postoperative complications were ptosis and decreased vision. Informed consent is an important aspect to improve patient’s knowledge of postoperative complications.
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沙吉托综合医院眼眶肿瘤切除术的术后并发症
摘要 引言和目的:眼眶肿瘤切除手术在眼科手术中占很小的比例,但却很重要,而相关并发症的报告却很少。本研究旨在报告日惹 Sardjito 综合医院眼眶肿瘤切除手术的并发症情况。研究方法对2021年7月至2023年3月期间接受眼眶肿瘤切除手术的138名患者进行描述性回顾研究。从病历中收集手术方法和术后并发症。结果:在约138名患者中,12名(8%)患者出现了术后并发症。在75名接受前眶切开术的患者中,有5人(5%)出现术后并发症。1%的患者出现眼睑下垂,1%的患者出现上睑下垂,2%的患者视力下降,1%的患者出现眼球运动障碍。21名患者接受了侧眶切开术。3名患者(12%)出现了术后并发症。4%的患者出现上睑下垂,4%的患者视力下降,4%的患者出现眼球运动障碍。在接受内侧眶骨切除术的 6 名患者中,有 4 人(60%)出现了上睑下垂(16%)和视力下降(50%)。8名患者接受了后眼眶切开术。一名患者(12.5%)出现了上睑下垂并发症。结论:前眶切开术是眼眶肿瘤切除术中最常见的手术方式。最常见的术后并发症是眼睑下垂和视力下降。知情同意是提高患者对术后并发症认识的一个重要方面。
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