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[眼眶骨折中的蝶骨裂综合征。病例报告及文献综述]

[Sphenoid fissure syndrome in orbital fractures. Case presentation and literature review].

作者信息

Menard P, Foussadier F, Ricbourg B

机构信息

Service de Stomatologie et de Chirurgie Maxillo-faciale, Hôpital Ambroise Paré, Boulogne.

出版信息

Rev Stomatol Chir Maxillofac. 1991;92(3):193-8.

PMID:1891695
Abstract

The superior orbital syndrome has been reported as a very rare complication of orbital fracture. In emergency clinical examination and computed tomography of the cranio-orbital region have provided diagnosis of the compression of the superior orbital fissure content by oedema and/or hematoma. These examinations have determined the type of cranio-orbital fractures and the absence of extra-dural haemorrhage, optical nerve damage or compression, which required emergency treatment. After surgical treatment of the cranio-orbital fracture by temporal and transconjunctival approach, the orbital fissure syndrome has required supervision. The recovery of ophthalmoplegia has taken several months. Minor after effects have been observed for the patient reported.

摘要

眶上裂综合征被报道为眼眶骨折非常罕见的并发症。在急诊临床检查和颅眶区域的计算机断层扫描已诊断出眶上裂内容物因水肿和/或血肿受压。这些检查确定了颅眶骨折的类型以及硬膜外出血、视神经损伤或受压的不存在,而这些情况需要紧急治疗。通过颞部和经结膜入路对颅眶骨折进行手术治疗后,眶裂综合征需要进行监测。眼肌麻痹的恢复需要数月时间。对于所报道的患者观察到了轻微的后遗症。

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引用本文的文献

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Superior Orbital Fissure Syndrome in Lateral Orbital Wall Fracture: Management and Classification Update.眶外侧壁骨折所致眶上裂综合征:治疗与分类的最新进展
Craniomaxillofac Trauma Reconstr. 2016 Nov;9(4):277-283. doi: 10.1055/s-0036-1584392. Epub 2016 Jun 22.
2
Neuronavigation-guided endoscopic decompression of superior orbital fissure fracture: case report and literature review.神经导航引导下眶上裂骨折的内镜减压术:病例报告及文献综述
Skull Base. 2009 May;19(3):241-6. doi: 10.1055/s-0028-1114297.