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结膜下水肿作为眼眶外伤经结膜入路手术的并发症。

Chemosis as complication in transconjunctival approach for orbital trauma.

作者信息

Olate Sergio, Palmieri Celso, de Moraes Márcio

机构信息

Department of Oral and Maxillofacial Surgery, Universidad de La Frontera, Temuco, Chile.; Center for Research in Biomedical Sciences, Universidad Autónoma de Chile, Temuco, Chile.

Department of Oral and Maxillofacial Surgery, Louisiana State University, Shreveport, LA, USA.

出版信息

J Korean Assoc Oral Maxillofac Surg. 2017 Feb;43(1):42-45. doi: 10.5125/jkaoms.2017.43.1.42. Epub 2017 Feb 20.

DOI:10.5125/jkaoms.2017.43.1.42
PMID:28280709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5342972/
Abstract

The aim of this report was to discuss a complication resulting from a transconjunctival approach to treating an orbital fracture. A 30-year-old male patient presented with a fracture to the zygomatic orbital complex. He was treated with transconjunctival conventional surgical treatment. Two days after surgical treatment, the patient presented with secondary chemosis which was initially slight and then subsequently worsened. The clinical situation was managed with topical and systemic corticosteroids and resolved within one postoperative month. Two-year follow-up showed ptosis of the upper eyelid and limited infraversion in the affected eye. This unusual complication associated with an orbital trauma was resolved with minor functional alterations, although the consequences observed after 2 years were not completely satisfactory.

摘要

本报告的目的是讨论经结膜入路治疗眼眶骨折所导致的一种并发症。一名30岁男性患者出现颧骨眶复合体骨折。他接受了经结膜常规手术治疗。手术治疗两天后,患者出现继发性球结膜水肿,起初较轻,随后加重。临床情况通过局部和全身使用皮质类固醇进行处理,并在术后一个月内得到缓解。两年随访显示患眼上睑下垂和下转受限。这种与眼眶外伤相关的不寻常并发症通过轻微的功能改变得到解决,尽管两年后观察到的后果并不完全令人满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/5342972/1672fedf8ec2/jkaoms-43-42-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/5342972/f0bd537ad1c6/jkaoms-43-42-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/5342972/51fa2b5717b1/jkaoms-43-42-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/5342972/fbbba48ea8fe/jkaoms-43-42-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/5342972/9a070ff3523b/jkaoms-43-42-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/5342972/fcb3b3da05df/jkaoms-43-42-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/5342972/1672fedf8ec2/jkaoms-43-42-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/5342972/f0bd537ad1c6/jkaoms-43-42-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/5342972/51fa2b5717b1/jkaoms-43-42-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/5342972/fbbba48ea8fe/jkaoms-43-42-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/5342972/9a070ff3523b/jkaoms-43-42-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/5342972/fcb3b3da05df/jkaoms-43-42-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cc2/5342972/1672fedf8ec2/jkaoms-43-42-g006.jpg

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本文引用的文献

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Topical Adrenaline (1: 1000) for the Management of Severe Tarsal Conjunctival Chemosis.
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JAMA Facial Plast Surg. 2013 Jan;15(1):39-46. doi: 10.1001/2013.jamafacial.1.
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Variables related to surgical and nonsurgical treatment of zygomatic complex fracture.与颧骨复合体骨折手术及非手术治疗相关的变量。
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Effect of renin-angiotensin system blockade on calcium channel blocker-associated peripheral edema.血管紧张素系统阻滞剂对钙通道阻滞剂相关外周水肿的影响。
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Transconjunctival approach in orbital traumatology: a review of 56 cases.经结膜入路在眼眶创伤学中的应用:56 例回顾。
J Craniomaxillofac Surg. 2011 Jun;39(4):266-70. doi: 10.1016/j.jcms.2010.06.003. Epub 2010 Jul 22.
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Surgical approaches and fixation patterns in zygomatic complex fractures.颧骨复合体骨折的手术入路及固定方式
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Regarding comprehensive management of chemosis following cosmetic lower blepharoplasty.关于美容性下睑成形术后球结膜水肿的综合管理。
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