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[动眼神经受压相关爆裂性骨折的治疗经验]

[Experience with the treatment of blow-out fractures associated with pinching of the oculomotor nerve].

作者信息

Katona J, Vereb K

出版信息

Fogorv Sz. 1989 Aug;82(8):243-6.

PMID:2776908
Abstract

Observations of blow out fractures causing diplopy with m. rectus inf. pinching and their successful treatment are reported on. Importance of early recognizing and of correct diagnosis are emphasized. Because of the nature of injuries of such type and of the situation of traumatologic care the patients get mostly to traumatological, oral surgery departments where the troubles of eye movement are not always recognized since it can be eclipsed by an eyelid oedema or by periorbital haematoma. The surgeon is frequently confronted with an unsolvable task by relayed observation and forming cicatrization. Then, the healing results are significantly worse, than in our first case. In case of treating facial injuries the cooperation of the oculist, the laryngologist, the odontologist, the neurosurgeon is indispensable.

摘要

报告了眶底骨折导致下直肌嵌顿引起复视及其成功治疗的观察结果。强调了早期识别和正确诊断的重要性。由于此类损伤的性质以及创伤治疗的情况,患者大多前往创伤科、口腔外科,眼部运动问题在此处并不总是能被识别,因为它可能被眼睑水肿或眶周血肿掩盖。由于转诊观察和瘢痕形成,外科医生常常面临无法解决的难题。那么,愈合结果会比我们的首例病例差得多。在治疗面部损伤时,眼科医生、耳鼻喉科医生、口腔科医生、神经外科医生的合作必不可少。

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1
[Experience with the treatment of blow-out fractures associated with pinching of the oculomotor nerve].[动眼神经受压相关爆裂性骨折的治疗经验]
Fogorv Sz. 1989 Aug;82(8):243-6.
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Re: van Eeckhoutte L. et al. A protocol for extraocular muscle surgery afterorbital floor fracture ("blow-out").回复:范·埃克豪特 L. 等人。眶底骨折(“爆裂性骨折”)后眼外肌手术方案。
Binocul Vis Strabismus Q. 1998;13(2):85.