睫下/经窦联合入路重建眶底骨折

N. Narita, Yumi Ito, Y. Kato, Y. Kimura, Y. Imoto, K. Ogi, Masayuki Okamoto, T. Takabayashi, S. Fujieda
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引用次数: 0

摘要

眶底骨折,尤其是伴有眶软组织收缩的眶底骨折,应手术重建。虽然已经报道了治疗眶底的各种方法,但医院或外科医生之间的程序尚未统一。自2009年以来,我们采用了经睫下切口经眶入路和经上龈切口经窦入路相结合的手术方法。综合的方法弥补了每种方法的缺点,导致成功的重建。安全适用于儿童眶底活板门骨折,多发生眶软组织收缩,造成永久性复视。本报告回顾性评估了2009年8月至2021年3月我科联合入路眶底骨折重建术患者的临床术前表现和术后结果。对21例眶底骨折患者的资料进行分析,术后复视1例(4.8%)。具体来说,我们描述了用联合入路治疗活板门骨折的儿童,导致完全恢复。联合入路是成人甚至儿童眶底骨折重建的良好方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Combined Subciliary/Transantral Approach for Reconstruction of Orbital Floor Fracture
Orbital floor fracture, especially with constriction of orbital soft tissue, should be reconstructed surgically. Although various approaches to treat the orbital floor have been reported, procedures have not been unified among hospitals or surgeons. Since 2009, we have adopted a procedure combining a transorbital approach via subciliary incision with a transantral approach through upper gingival incision. The combined approach compensates for the shortcomings of each approach, leading to successful reconstruction. It is applicable safely for trapdoor fracture of the orbital floor in children, which more frequently constricts orbital soft tissue and which leaves permanent diplopia. This report retrospectively assessed clinical preoperative findings and postoperative outcomes of patients who received reconstruction of orbital floor fracture with the combined approach in our department from August 2009 through March 2021. Data of 21 patients with orbital floor fracture were analyzed, only one (4.8%) of whom had postoperative diplopia. Specifically, we describe children with trapdoor fracture treated with the combined approach, resulting in complete recovery. The combined approach stands as an excellent procedure for reconstruction of orbital floor fracture in adults and even in children.
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