Lu Li, Bai Xiao-feng, Yang Ming-liang, Yan Guang-qi
Department of Oral and Maxillofacial Surgery, China Medical University, Shenyang, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2011 Aug;46(8):458-62.
To summarize the experiences in the treatment of complicated orbital fractures.
A total of 89 patients with complicated orbital fractures treated in Department of Oral and Maxillofacial Surgery, China Medical University from January 2005 to January 2010 were retrospectively reviewed. The classification of these cases included naso-orbital-ethmoid fracture, frontal orbital fracture and orbitozygomatic fracture. All patients were followed up for 6 - 36 months.
The orbital frame was repaired or reconstructed in these patients. The function of lacrimal pathways was improved. All the patients and the physicians were satisfied with the surgical effects. However, recurrence of deformity after endophthalmas correction was found in several cases.
The experiences, comprehensive management of complicated orbital fractures by team approaches, concluded from this study could be expanded. There are still challenges in the treatment of complicated orbital fractures, such as severe endophthalmas deformity, recurrence of endophthalmas deformity and malunion of complicated orbital fracture.
总结复杂性眼眶骨折的治疗经验。
回顾性分析2005年1月至2010年1月在中国医科大学口腔颌面外科治疗的89例复杂性眼眶骨折患者。这些病例的分类包括鼻眶筛骨折、额眶骨折和眶颧骨折。所有患者均随访6至36个月。
这些患者的眼眶框架得到修复或重建。泪道功能得到改善。所有患者和医生对手术效果均满意。然而，发现几例患者在眼球内陷矫正后畸形复发。
本研究得出的通过团队方法对复杂性眼眶骨折进行综合管理的经验可以推广。复杂性眼眶骨折的治疗仍存在挑战，如严重的眼球内陷畸形、眼球内陷畸形复发和复杂性眼眶骨折畸形愈合。
