Lim Nam Kyu, Kang Dong Hee, Oh Sang Ah, Gu Ja Hea
Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, Chungnam, Republic of Korea.
J Craniofac Surg. 2015 Nov;26(8):e761-5. doi: 10.1097/SCS.0000000000002189.
Repairing a large inferomedial blowout fracture remains a challenge to orbital surgeon. The authors restored the fracture using combined transnasal and transorbital approaches using support of both paranasal sinuses. The authors compared surgical results of this novel method with those of the traditional procedure. Of 106 inferomedial blowout fracture patients who underwent surgical treatment between March 2007 and July 2013, 50 patients were selected in our study: 25 patients underwent the traditional procedure as controls, and the other 25 patients underwent orbital wall restoring surgery by our combined approach. Outcomes were evaluated in terms of the orbital volume ratio (OVR) and changes in Hertel scale. The OVR in the experimental group (7.19%) decreased more significantly than in the control group (2.71%) (P < 0.05). In conclusion, the orbit was restored more successfully following orbital wall restoring surgery with dual support than by using the traditional inferomedial blowout fracture procedure.
修复大型眶内下壁爆裂性骨折对眼眶外科医生来说仍是一项挑战。作者采用经鼻和经眶联合入路，并利用双侧鼻窦的支撑来修复骨折。作者将这种新方法的手术结果与传统手术的结果进行了比较。在2007年3月至2013年7月期间接受手术治疗的106例眶内下壁爆裂性骨折患者中，本研究选取了50例患者：25例患者接受传统手术作为对照组，另外25例患者采用我们的联合入路进行眶壁修复手术。根据眼眶容积比（OVR）和Hertel量表的变化来评估结果。实验组的眼眶容积比（7.19%）下降比对照组（2.71%）更显著（P<0.05）。总之，与传统的眶内下壁爆裂性骨折手术相比，采用双重支撑的眶壁修复手术能更成功地修复眼眶。
