Kontio Risto, Lindqvist Christian
Department of Oral and Maxillofacial Surgery, Helsinki University Hospital, Helsinki, Finland.
Oral Maxillofac Surg Clin North Am. 2009 May;21(2):209-20, vi. doi: 10.1016/j.coms.2008.12.012.
Trauma to the orbit is always complex, and adequate therapy requires that the surgeon be familiar with the detailed anatomy of the orbit and the pattern of injury of the soft and hard tissue components. Preoperative CT, MRI scans, or both are mandatory for diagnosis and proper planning of reconstruction. Although several autogenous and alloplastic materials are available, autogenous bone grafting seems to give the best results. Resorbable materials cannot be recommended for large defects. Instead, either bone or titanium must be considered to achieve a long-lasting, accurate restoration of bony orbital anatomy and dimension. Postoperative CT scan evaluation is of utmost importance regardless of the reconstruction method used.
眼眶创伤总是复杂的，充分的治疗要求外科医生熟悉眼眶的详细解剖结构以及软组织和硬组织成分的损伤模式。术前CT、MRI扫描或两者均是诊断和正确规划重建所必需的。尽管有几种自体和异体材料可供使用，但自体骨移植似乎能取得最佳效果。对于大的缺损，不推荐使用可吸收材料。相反，必须考虑使用骨或钛来实现对眼眶骨骼解剖结构和尺寸的持久、精确恢复。无论采用何种重建方法，术后CT扫描评估都至关重要。
