Zhang Jiapeng, Wen Zhong, Sun Yifan, Huang Xiaoming
Department of Otolaryngology, Affiliated Hospital of Zhongshan City, Guangzhou University of Traditional Chinese Medicine, Guangzhou, 510282, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 Jun;26(12):536-8.
To explore the operative method and effect of fracture of orbital floor defects repaired with tragus cartilage through Cald-well-Luc approach under nasal endoscope.
Fifteen cases suffered fracture of orbital floor defects(blow out fracture) were analyzed retrospectively. Oral vestibular incision were done directly to tip teeth kennel, maxillary sinus anterior forewall was chiseled with 2 cm x 2 cm size, orbital floor fracture defect size was probed under nasal endoscope, and the fracture of orbital floor defects was repaired with tragus cartilage.
Fifteen cases were successfully operated and no cases showed vision loss,diplopia, enophthalmos obviously after operation,while 3 case were a little eyeball limitation of activity and restored basically after one month. With two years of follow up, there were no spurious eyelid drooping, up-eyelid lacuna deepen, eyelid diameter shorten and facial deformity were found. Both eye-balls were basical symmetry and no complications were happened.
It is a satisfactory, effective and aminimally invasive surgical method without facial scars and eyelid ectropion for fracture of orbital floor defects repaired with tragus cartilage through Cald-well-Luc approach under nasal endoscope.
探讨经鼻内镜下柯陆氏进路用耳屏软骨修复眶底骨折缺损的手术方法及效果。
回顾性分析15例眶底骨折缺损（爆裂性骨折）患者。直接经口前庭切口至尖牙窝，凿开上颌窦前壁2cm×2cm大小，经鼻内镜探查眶底骨折缺损大小，并用耳屏软骨修复眶底骨折缺损。
15例手术均成功，术后无一例出现明显视力丧失、复视、眼球内陷，3例有轻度眼球活动受限，1个月后基本恢复。随访2年，未发现假性上睑下垂、上睑凹陷加深、睑裂缩短及面部畸形。双眼基本对称，无并发症发生。
经鼻内镜下柯陆氏进路用耳屏软骨修复眶底骨折缺损是一种令人满意、有效且微创的手术方法，无面部瘢痕及睑外翻。
