摘要
目的:探讨鼻内镜下经鼻窦入路筛骨垂直板治疗眶内侧壁骨折的效果。方法:经鼻内镜下鼻窦入路,采用筛骨垂直板对10例眶内侧壁骨折患者行眶内侧壁修复,观察手术前后患者复视、眼球运动及眼球内陷等症状改善情况。结果:术后随访4~23个月,所有患者术后无移植物脱落或移位、感染等并发症发生,除1例患者有轻度复视外,其他患者眼球运动障碍、复视及眼球内陷完全恢复。结论:鼻内镜下经鼻窦入路,采用筛骨垂直板修复眼眶内侧壁骨折,手术效果较好。
Objective：To study the efficacy of endoscopic sinus approach in the repair of medial orbital fracture with perpendicular plate of ethmoid.Method：Retrospective chart was reviewed in 10 cases receiving endoscopic approach to reconstruct the medial orbital fracture with perpendicular plate of ethmoid.We observed the improvement of the symptom such as diplopia,eye movement,and enophthalmos of the preoperative and postoperative.Result：After postoperative follow up of 4 months to 23 months,all the patients had no graft loss or displacement,infection and other complications,and except for 1 patient with mild diplopia,other patients recovered completely,including eye movement disorder,diplopia,and enophthalmos.Conclusion：Endoscopic approach is a safe and effective treatment in the repair of medial orbital fracture with perpendicular plate of ethmoid.
作者
徐志华
冯益进
徐永田
张抗美
张小青
王新华
叶锐
牛开元
XU Zhihua;FENG Yijin;XU Yongtian;ZHANG Kangmei;ZHANG Xiaoqing;WANG Xinhua;YE Rui;NIU Kaiyuan(Department of Otolaryngology, the Third Affiliated Hospital of Medical University of Anhui, Hefei, 230061, China;Department of Otolaryngology, Hefei Binhu Hospital)
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2018年第8期614-616,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
内镜检查
眼眶
筛骨垂直板
骨折
endoscopy
orbit
perpendicular plate of ethmoid
bone fractures
