眼眶骨折修复术
Orbital Fracture Repair.
作者信息
Grob Seanna, Yonkers Marc, Tao Jeremiah
机构信息
Department of Ophthalmology, Division of Oculofacial Plastic and Reconstructive Surgery, Gavin Herbert Eye Institute, University of California, Irvine, California.
出版信息
Semin Plast Surg. 2017 Feb;31(1):31-39. doi: 10.1055/s-0037-1598191.
Abstract
Orbital fractures are very common after facial trauma. The assessment of a patient with a suspected orbital wall injury includes a detailed oculofacial examination as well as radiologic imaging. Surgical repair with or without an implant may be indicated for diplopia, enophthalmos, or both. Cicatricial eyelid malposition is an iatrogenic complication commonly due to poor orbitotomy technique. Optimal repair involves direct exposure of the perimeter of the fractures' site through surgical planes that minimally scar the eyelids. A wide variety of implant options exist; however, thin, pliable, nonadherent materials such as nylon foil may offer several advantages. The authors describe the evaluation and management of orbital wall fractures.
摘要
眼眶骨折在面部创伤后非常常见。对疑似眼眶壁损伤患者的评估包括详细的眼面部检查以及影像学检查。对于复视、眼球内陷或两者兼而有之的情况，可能需要进行有或无植入物的手术修复。瘢痕性眼睑错位是一种医源性并发症，通常由于眼眶切开术技术不佳所致。最佳修复方法是通过对眼睑瘢痕最小的手术平面直接暴露骨折部位的周边。存在多种植入物选择；然而，薄的、柔韧的、不粘连的材料（如尼龙箔）可能具有多种优势。作者描述了眼眶壁骨折的评估和处理。
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