Liss Jason, Stefko S Tonya, Chung William L
Oculoplastic Surgery, University of Pittsburgh Medical Center, 203 Lothrop Street, Pittsburgh, PA 15213, USA.
Oral Maxillofac Surg Clin North Am. 2010 Feb;22(1):59-71. doi: 10.1016/j.coms.2009.11.006.
Much has been written about the repair of orbital fractures, yet some debate still exists among surgeons with regard to indications for and timing of fracture repair and various surgical techniques. Controversies regarding the surgical maneuvers include the incision, surgical approach, and methods of wound closure. More detailed imaging modalities have allowed clinicians to understand the injuries more completely and plan for and execute more ideal reconstructions. Recent advances in orbital implant materials and the role of endoscopy in orbital fracture repair add to this debate about which techniques would be best for particular injuries. This article discusses these issues and provides the most current literature review regarding the management of various orbital fractures.
关于眼眶骨折的修复已有大量著述，但在外科医生之间，对于骨折修复的适应症、时机以及各种手术技术仍存在一些争议。关于手术操作的争议包括切口、手术入路和伤口闭合方法。更详细的成像方式使临床医生能够更全面地了解损伤情况，并规划和实施更理想的重建手术。眼眶植入材料的最新进展以及内窥镜在眼眶骨折修复中的作用，进一步引发了关于哪种技术最适合特定损伤的争论。本文讨论了这些问题，并提供了有关各种眼眶骨折治疗的最新文献综述。
