Krzystkowa K, Bartkowski S t
Klin Monbl Augenheilkd. 1975 Aug;167(2):245-57.
The authors describe the diagnosis and operative methods for the treatment of 36 patients which were operated on in the last two years. These patients included 32 with various face fractures, of which 7 had blow-out fractures. In 4 patients the diplopia was caused by injuries to the soft tissues without bony fracture. The examinations comprised x-ray methods and also ophthalmological examinations, especially with the synoptometer. In 24 operated patients, reposition of the bony fragments or autologous bone grafts were done according to the kind of injury present. Although 17 patients were operated on very late (some weeks up to several months after the trauma), in 13 patients (54%) a complete cure could be achieved, and all the other patients showed an improvement. In 3 patients there was only a minor improvement, and it was decided to perform further operations on the extrinsic eye muscles. The authors emphasize the special sense of multi-disciplinary working together in the diagnosis and therapy of patients with face injuries, while this is very important for the success of the treatment.
作者描述了过去两年中接受手术治疗的36例患者的诊断和手术方法。这些患者包括32例各种面部骨折患者，其中7例为爆裂性骨折。4例患者的复视是由无骨折的软组织损伤引起的。检查包括X线检查以及眼科检查，尤其是使用同视机检查。在24例接受手术的患者中，根据损伤情况对骨碎片进行复位或进行自体骨移植。尽管17例患者手术时间很晚（创伤后数周直至数月），但13例患者（54%）得以完全治愈，其他所有患者均有改善。3例患者仅有轻微改善，因此决定对外眼肌进行进一步手术。作者强调在面部损伤患者的诊断和治疗中多学科协作的特殊意义，这对治疗成功非常重要。
