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外伤性眼球脱位于上颌窦的即刻手术治疗:1例罕见病例报告及文献复习

Immediate Surgical Management of Traumatic Dislocation of the Eye Globe into the Maxillary Sinus: Report of a Rare Case and Literature Review.

作者信息

Noman Samer Abduljabar, Shindy Mostafa Ibrahim

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Sana'a University, Sana'a, Yemen.

Department of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt.

出版信息

Craniomaxillofac Trauma Reconstr. 2017 Jun;10(2):151-158. doi: 10.1055/s-0036-1584393. Epub 2016 Jun 24.

Abstract

We report a case of complete dislocation of the globe into the maxillary sinus, with immediate repositioning of the globe. This report highlights the importance of early surgical repair of orbital fracture and globe repositioning to regain the maximum amount of ocular functions. A review of literature found 19 cases of globe dislocation into the maxillary sinus: One case was enucleated 2 months after misdiagnosis as traumatic enucleation, six cases were documented no vision or no light perception, three cases did not have reported vision (patients did not survive), and nine cases with postoperative vision. We recommend early surgical intervention to restore the cosmetic and visual function of the dislocated eye.

摘要

我们报告了一例眼球完全脱位于上颌窦并立即进行眼球复位的病例。本报告强调了早期手术修复眼眶骨折和眼球复位以恢复最大程度眼功能的重要性。文献回顾发现19例眼球脱位于上颌窦的病例:1例在被误诊为外伤性眼球摘除2个月后被摘除眼球,6例记录为无视力或无光感,3例未报告视力情况(患者未存活),9例术后有视力。我们建议早期进行手术干预以恢复脱位眼球的外观和视觉功能。

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