Rocca A, Stefani S, Laurens D, Mattei M
Service de Chirurgie Maxillo-Faciale, Centre Hospitatalier de Bastia.
Ann Chir Plast Esthet. 1991;36(3):193-9.
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.
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。
