Maturo Stephen C, Wiseman Joe, Mair Eric
San Antonio Uniformed Services Health Education Consortium, Wilford Hall Medical Center, Lackland AFB, San Antonio, Tex 78236, USA.
Ear Nose Throat J. 2008 Dec;87(12):693-5.
We conducted a cadaver study to determine the ease of use and functionality of a flexible endoscope holder in the visualization and repair of orbital floor fractures via a transantral approach. Four fresh cadaver heads were dissected through a sublabial antrotomy incision with a 30 degrees endoscope attached to a flexible holder. An implant was placed to restore the normal anatomy. With the use of this exclusive endoscopic approach, all orbital floor fractures were identified in their entirety and completely reduced with alloplastic material. We conclude that the flexible endoscope holder provides clearer visualization, greater instrument mobility, and an overall superior dissection and placement of implants in the endoscopic repair of orbital floor fractures.
我们进行了一项尸体研究,以确定在经上颌窦入路进行眶底骨折可视化和修复时,一种柔性内窥镜固定器的易用性和功能。通过唇下上颌窦切开术切口解剖四个新鲜尸体头部,将30度内窥镜连接到柔性固定器上。放置植入物以恢复正常解剖结构。使用这种独特的内窥镜入路,所有眶底骨折均被完整识别,并用异体材料完全复位。我们得出结论,在眶底骨折的内窥镜修复中,柔性内窥镜固定器提供了更清晰的可视化、更大的器械灵活性,以及整体上更好的植入物解剖和放置效果。