Palmieri Celso F, Ghali G E
Department of Oral and Maxillofacial Surgery, Louisiana State University Health Sciences Center at Shreveport, 1501 Kings Highway, Shreveport, LA 71103, USA.
Oral Maxillofac Surg Clin North Am. 2012 Nov;24(4):649-63. doi: 10.1016/j.coms.2012.08.002. Epub 2012 Sep 24.
Orbital fractures are some of the most challenging injuries the oral surgeon deals with on a daily basis. Delay of the treatment of orbital fractures impacts the final result. Late orbital reconstruction is sometimes necessary for inadequate primary reconstruction or for severe injuries with adequate primary reconstruction. Healing and wound contraction make secondary reconstruction more difficult to restore the orbital contents back to normal. There are different materials available for orbital reconstruction, and there is no consensus about which is best. Early surgical intervention may improve the ultimate outcome, but identifying patients at risk of late complications is difficult.
眼眶骨折是口腔外科医生日常处理的最具挑战性的损伤之一。眼眶骨折治疗的延迟会影响最终结果。对于初次重建不足或初次重建充分但损伤严重的情况,有时需要进行晚期眼眶重建。愈合和伤口收缩使得二次重建更难将眼眶内容物恢复正常。有多种材料可用于眼眶重建,对于哪种材料最佳尚无共识。早期手术干预可能会改善最终结果,但识别有晚期并发症风险的患者很困难。