Mathog R H, Hillstrom R P, Nesi F A
Department of Otolaryngology, Harper-Grace Hospital, Wayne State University, Detroit, MI 48201.
Arch Otolaryngol Head Neck Surg. 1989 Feb;115(2):169-78. doi: 10.1001/archotol.1989.01860260043012.
Enophthalmos, hypophthalmos, and diplopia are complications of orbital injury. This article reviews the causes of these sequelae, describes a method of strategic implantation of bone grafts to the orbit (and malar bone), and reports the long-term (six months to eight years) results in 38 cases. As a result of bone grafting, all but two patients had a correction of the enophthalmos to within 1 to 2 mm of the opposite eye. Of the 20 patients with diplopia, 15 had correction, and an additional four had an improvement of diplopia so it occurred in only one field of gaze. Of the 22 patients with grafts to the malar bone, 16 were thought to have good to excellent results; however, six developed some degree of reabsorption at the graft site. No patients had any decrease in vision. The advantages and disadvantages of the surgical procedure are described and compared with other methods.
眼球内陷、眼球下移和复视是眼眶损伤的并发症。本文回顾了这些后遗症的病因，描述了一种向眼眶（和颧骨）战略性植入骨移植物的方法，并报告了38例患者的长期（6个月至8年）结果。由于进行了骨移植，除两名患者外，所有患者的眼球内陷均矫正至与对侧眼相差1至2毫米以内。在20例复视患者中，15例得到矫正，另外4例复视有所改善，仅在一个注视方向出现复视。在22例接受颧骨骨移植的患者中，16例被认为效果良好至极佳；然而，6例在移植部位出现了一定程度的吸收。没有患者视力下降。本文描述了该手术方法的优缺点，并与其他方法进行了比较。
