Hollier Larry H, Thornton James, Pazmino Pat, Stal Samuel
Michael DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
Plast Reconstr Surg. 2003 Jun;111(7):2386-92, quiz 2393. doi: 10.1097/01.PRS.0000061010.42215.23.
Orbitozygomatic injuries are among the most common fractures encountered by the plastic surgeon. Appropriate management depends on an accurate diagnosis, focusing on the physical examination and data from computed tomography scans. One must pay particular attention to the orbital component of this injury, as it is from this that so much of the morbidity relating to these fractures is incurred. As with all facial fractures, accurate reduction is paramount to a successful outcome. As many buttresses as are necessary should be visualized to ensure an anatomic reduction. The amount and location of fixation depend on the fracture anatomy.A successful outcome may be expected if these basic principles are followed.
眶颧部损伤是整形外科医生最常遇到的骨折之一。恰当的处理取决于准确的诊断,重点是体格检查和计算机断层扫描数据。必须特别关注该损伤的眼眶部分,因为与这些骨折相关的许多并发症都源于此。与所有面部骨折一样,精确复位对于取得成功的治疗效果至关重要。应视情况显示尽可能多的支柱结构以确保解剖复位。固定的数量和位置取决于骨折的解剖结构。如果遵循这些基本原则,有望获得成功的治疗效果。