Hazani Ron, Yaremchuk Michael J
Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital-Harvard Medical School, Boston, MA, USA.
Arch Plast Surg. 2012 Jan;39(1):11-7. doi: 10.5999/aps.2012.39.1.11. Epub 2012 Jan 15.
Management of posttraumatic enophthalmos can present as a challenge to the reconstructive surgeon, particularly in cases of late presentation. This article reviews the pertinent anatomy of the orbit, diagnostic modalities, indications for surgery, and surgical approaches as they relate to the treatment of posttraumatic enophthalmos. Internal orbital reconstruction has evolved to an elegant procedure incorporating various biologic or alloplastic implants, including anatomical pre-bent implants. Successful repair of late enophthalmos has been demonstrated in multiple recent studies and is likely related to the precision with which orbital anatomy can be restored.
创伤后眼球内陷的治疗对重建外科医生来说可能是一项挑战，尤其是在就诊较晚的病例中。本文回顾了眼眶的相关解剖结构、诊断方法、手术适应症以及与创伤后眼球内陷治疗相关的手术入路。眼眶内重建已发展成为一种精细的手术，采用各种生物或异体植入物，包括解剖学预弯植入物。最近的多项研究已证明晚期眼球内陷能够成功修复，这可能与眼眶解剖结构恢复的精确程度有关。
