眼眶爆裂性骨折的无缝合经结膜修复术
Sutureless transconjunctival repair of orbital blowout fractures.
作者信息
Ho Viet H, Rowland Joseph P, Linder James S, Fleming James C
机构信息
Department of Ophthalmology, University of Tennessee Health Science Center, Memphis, Tennessee 38112, USA.
出版信息
Ophthalmic Plast Reconstr Surg. 2004 Nov;20(6):458-60. doi: 10.1097/01.iop.0000143715.26518.4c.
PURPOSE
To evaluate early postoperative results and complications in patients who underwent repair of isolated orbital floor blowout fractures with placement of nonfixed implants through a transconjunctival and sutureless incision.
METHODS
We retrospectively reviewed 26 cases of isolated floor fractures repaired by this technique. Criteria for inclusion in this study were transconjunctival approach, nonfixed orbital implants, and sutureless closure. Early postoperative complications were evaluated.
RESULTS
Twenty-six patients (16 male, 10 female) underwent repair of an isolated floor fracture and were followed after surgery for 1 to 26 months. No eyelid malposition, infection, or implant extrusion occurred. However, 1 patient (3.8%) had early migration of the orbital implant that did not require further intervention.
CONCLUSIONS
Repair of orbital floor blowout fractures with a nonfixed implant through the transconjunctival approach and sutureless closure provides an excellent functional and cosmetic result.
目的
评估经结膜无缝合切口置入非固定植入物修复单纯眶底爆裂性骨折患者的术后早期结果及并发症。
方法
我们回顾性分析了26例采用该技术修复的单纯眶底骨折病例。本研究的纳入标准为经结膜入路、非固定眶植入物及无缝合关闭。评估术后早期并发症。
结果
26例患者（16例男性，10例女性）接受了单纯眶底骨折修复，并在术后随访1至26个月。未发生眼睑位置异常、感染或植入物脱出。然而，1例患者（3.8%）出现眶植入物早期移位，无需进一步干预。
结论
经结膜入路并采用无缝合关闭技术置入非固定植入物修复眶底爆裂性骨折，可获得良好的功能和美容效果。
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