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外伤性眼球脱位于鼻窦:文献综述与治疗指南

Traumatic globe dislocation into the paranasal sinuses: Literature review and treatment guidelines.

作者信息

Amaral Marcio Bruno Figueiredo, Nery André Cardoso

机构信息

Oral and Maxillofacial Surgery Service, Hospital João XXIII/FHEMIG, Belo Horizonte, MG, Brazil.

Ophthalmologic Service, Hospital João XXIII/FHEMIG, Belo Horizonte, MG, Brazil.

出版信息

J Craniomaxillofac Surg. 2016 May;44(5):642-7. doi: 10.1016/j.jcms.2016.01.028. Epub 2016 Feb 4.

Abstract

Traumatic globe dislocation into the paranasal sinuses is rare. Only 24 cases have been reported in the English-language literature indexed in PUBMED. This form of injury frequently occurs as a result of high-energy blunt trauma mainly associated to traffic accidents. Traumatic globe dislocation into the paranasal sinuses can be explained by the mechanism of blowout fracture when strong blunt trauma forces are applied to the globe fracturing the thin orbital walls and displacing the eyeball. Medical and surgical management of severe globe displacement is still controversial. However, the majority of researchers agreed that the globe should be replaced into the orbital cavity as soon as possible. The present study aims to describe a case of traumatic globe dislocation into the maxillary sinus suggesting treatment guidelines based on English-language literature from 1971 to 2015.

摘要

外伤性眼球脱位于鼻窦罕见。在PUBMED索引的英文文献中仅报道了24例。这种损伤形式常因主要与交通事故相关的高能钝性创伤所致。当强大的钝性创伤力作用于眼球,致使薄的眶壁骨折并使眼球移位时,外伤性眼球脱位于鼻窦可通过爆裂性骨折机制来解释。严重眼球移位的药物和手术治疗仍存在争议。然而,大多数研究者一致认为应尽快将眼球复位至眼眶内。本研究旨在描述1例外伤性眼球脱位于上颌窦的病例,并根据1971年至2015年的英文文献提出治疗指南。

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