Cultrara Anthony, Turk Jon B, Har-El Gady
Department of Otolaryngology, State University of New York Downstate Medical Center, Brooklyn, USA.
Arch Facial Plast Surg. 2004 Mar-Apr;6(2):133-5. doi: 10.1001/archfaci.6.2.133.
To demonstrate that the midfacial degloving (MFD) approach can provide the proper exposure to successfully reduce naso-orbital-ethmoid (NOE) and midfacial fractures while eliminating the need for external skin incisions.
A retrospective review of patients with NOE and concomitant midfacial fractures that were repaired via the MFD approach for exposure.
Tertiary care academic medical center.
The MFD approach was used to access NOE and concomitant midfacial fractures for repair in 9 patients with facial trauma. Physical examination and imaging studies were used for preoperative evaluation. Functional and cosmetic results were assessed during follow-up with serial physical examinations and postreduction films.
No significant technical problems were encountered in the treatment of NOE and concomitant fractures, which included 5 Le Fort I, 1 Le Fort II, 1 Le Fort III, 6 orbital rim (1 superior, 4 inferior, and 1 lateral), and 4 zygomatic complex fractures. Physical examination and imaging studies showed adequate reduction in all patients, and all patients were satisfied with their short- and long-term functional and cosmetic results.
The MFD approach can provide the necessary exposure to properly reduce NOE and midfacial fractures without the need for external skin incisions.
证明面中部去套状剥离（MFD）方法能够提供适当的暴露，以成功复位鼻眶筛（NOE）和面中部骨折，同时无需进行外部皮肤切口。
对采用MFD方法进行暴露修复的NOE及伴发面中部骨折患者进行回顾性研究。
三级医疗学术医学中心。
采用MFD方法对9例面部创伤患者的NOE及伴发面中部骨折进行修复。术前评估采用体格检查和影像学检查。随访期间通过系列体格检查和复位后影像学检查评估功能和美容效果。
在治疗NOE及伴发骨折时未遇到重大技术问题，其中包括5例Le Fort I型骨折、1例Le Fort II型骨折、1例Le Fort III型骨折、6例眶缘骨折（1例眶上缘、4例眶下缘和1例眶外侧缘）以及4例颧骨复合体骨折。体格检查和影像学检查显示所有患者均获得充分复位，所有患者对其短期和长期功能及美容效果均满意。
MFD方法能够提供必要的暴露，以正确复位NOE和面中部骨折，而无需进行外部皮肤切口。
