Kanjanakomut Lek
J Med Assoc Thai. 2014 Sep;97(9):988-92.
In an orbital fracture involving diplopia, enophthalmos is a major problem to be corrected because ofsoft tissue swelling and limited incision, which causes inaccurate restoration oforbital anatomy and reestablishing orbital volume. Pre-operative computerized planning combined with intra-operative navigation and endoscopy are used to create the accurate anatomical orbital position and effectively correct the posttraumatic diplopia and enophthalmos.
An 18-year-old Thai male with diplopia and enophthalmospresented aposttraumatic left orbital fracture two months prior Three-dimensional CTscan of the facial bone confirmed the fracture. The patient required surgical treatment for correction of the orbital fracture. The intra-operative navigator and endoscopy-assisted technique were used. Pre- and post-operative pictures were compared, indicated the successful correction of enophthalmos and clinical correction of diplopia.
Intra-operative navigator combined with endoscopy-assisted technique were a new surgical procedure that could correct the orbital deformity problem involving enophthalmos and diplopia more effective.
在伴有复视的眼眶骨折中，由于软组织肿胀和切口受限，眼球内陷是一个需要矫正的主要问题，这会导致眼眶解剖结构恢复不准确以及眼眶容积重建不佳。术前计算机化规划联合术中导航和内窥镜检查可用于创建准确的眼眶解剖位置，并有效矫正创伤后复视和眼球内陷。
一名18岁泰国男性，伴有复视和眼球内陷，两个月前因创伤导致左侧眼眶骨折。面部骨骼的三维CT扫描证实了骨折。患者需要手术治疗以矫正眼眶骨折。采用了术中导航和内窥镜辅助技术。比较了术前和术后的图片，显示眼球内陷得到成功矫正，复视得到临床矫正。
术中导航联合内窥镜辅助技术是一种新的手术方法，能够更有效地矫正涉及眼球内陷和复视的眼眶畸形问题。
