睑板下进路在眶颧骨折手术治疗中的评估
[Evaluation of palpebral subtarsal approach in surgical treatment of orbito-zigomatic fractures].
作者信息
Timóteo Carlos Alberto, Chagas José Francisco de Salles, Rapoport Abrão, Denardin Odilon Victor Porto
机构信息
Ciências da Saúde do Hospital Heliópolis, São Paulo - SP - BR.
出版信息
Rev Col Bras Cir. 2009 Oct;36(5):382-91. doi: 10.1590/s0100-69912009000500005.
OBJECTIVE
To evaluate the complications, advantages and disadvantages of the subtarsal approach when used to exposure the orbital rim and orbital floor in orbitozygomatic fractures.
METHODS
Retrospective study of the 41 subtarsal incisions that were used in 39 patients with fractures of the zygomatic complex and/or orbital floor, of blowout type, between January 2002 and December 2006.
RESULTS
The observed complications were conjunctivitis, epiphora and noticeable scar, in six (14,6%), five (12,2%) and two (4.9%) of the cases, respectively. There was no ectropion, entropion or scleral show in the patients reevaluated.
CONCLUSIONS
The main advantages of this approach are the esthetic result together with the transoperative benefits.
目的
评估跗下切口入路用于暴露眶颧骨折的眶缘和眶底时的并发症、优点及缺点。
方法
回顾性研究2002年1月至2006年12月期间，39例颧复合体和/或眶底爆裂性骨折患者所采用的41例跗下切口。
结果
观察到的并发症分别为结膜炎6例（14.6%）、溢泪5例（12.2%）和明显瘢痕2例（4.9%）。在重新评估的患者中未出现睑外翻、睑内翻或巩膜外露。
结论
该入路的主要优点是美观效果以及手术中的优势。
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