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[眶底骨折。关于70例同类患者的研究]

[Fractures of the orbital floor. Apropos of a homogeneous series of 70 patients].

作者信息

Rocca A, Stefani S, Laurens D, Mattei M

机构信息

Service de Chirurgie Maxillo-Faciale, Centre Hospitatalier de Bastia.

出版信息

Ann Chir Plast Esthet. 1991;36(3):193-9.

PMID:1721774
Abstract

The authors report their experience based on a homogeneous series of 70 fractures of the orbital floor. Different anatomo-clinical forms were defined in particular fractures of the orbital floor, accompanying an "internal pivoting" of the cheek bone, which by their incarceration mechanism resemble the trap-door fractures. The blow-out fracture associated with the lower orbital margin also raises therapeutic problems. After a clinical and CT study, the authors recommend treatment via the lower orbital approach using silastic implants. The different sequelae are described clinically and are appraised medically and legally.

摘要

作者报告了他们基于70例眶底骨折同类病例系列的经验。在眶底骨折中定义了不同的解剖临床类型,特别是伴有颧骨“内旋”的骨折,其卡压机制类似于活板门骨折。与眶下缘相关的爆裂性骨折也引发了治疗问题。经过临床和CT研究,作者推荐采用下眶入路并使用硅橡胶植入物进行治疗。文中对不同的后遗症进行了临床描述,并从医学和法律角度进行了评估。

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