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Treatment of Orbital Medial Wall Fractures with Titanium Mesh Plates Using Retrocaruncular Approach: Outcomes with Different Techniques.经泪阜后入路使用钛网板治疗眼眶内侧壁骨折：不同技术的疗效
Craniomaxillofac Trauma Reconstr. 2015 Dec;8(4):326-33. doi: 10.1055/s-0035-1549014. Epub 2015 Apr 28.
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Safety of silastic sheet for orbital wall reconstruction.硅橡胶片用于眶壁重建的安全性
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3
The Correlation between the Degree of Enophthalmos and the Extent of Fracture in Medial Orbital Wall Fracture Left Untreated for Over Six Months: A Retrospective Analysis of 81 Cases at a Single Institution.未治疗超过6个月的眼眶内侧壁骨折中眼球内陷程度与骨折范围的相关性：单机构81例回顾性分析
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Orbital wall reconstruction with titanium mesh: retrospective study of 24 patients.钛网眶壁重建术：24例患者的回顾性研究
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Traumatic Enophthalmos.外伤性眼球内陷
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Blow-out fracture of the orbit; mechanism and correction of internal orbital fracture.眼眶爆裂性骨折；眶内骨折的机制与整复
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Endonasal endoscopic treatment of medial orbital wall fracture via rotational repositioning.
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Endonasal endoscopic reduction of blowout fractures of the medial orbital wall.鼻内镜下眶内侧壁爆裂骨折复位术
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Bone grafting for enophthalmos due to a medial orbital wall fracture: case report with 13 year follow-up.
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内镜下经鼻入路修复爆裂性骨折——一种新技术。

Endoscopic Endonasal Approach of Blow Out Fracture Reduction- A Novel Technique.

作者信息

Felix Vinod, Veerasigamani Narendrakumar

机构信息

Consultant, Department of Ear, Nose and Throat, SUT Hospital, Pattom, Trivandrum, Kerala, India.

Consultant, Department of Ear, Nose and Throat, Indoamerican Hospital, Vaikom, Kerala, India.

出版信息

J Clin Diagn Res. 2017 Jul;11(7):MD06-MD08. doi: 10.7860/JCDR/2017/27204.10216. Epub 2017 Jul 1.

DOI:10.7860/JCDR/2017/27204.10216
PMID:28892944
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5583905/
Abstract

Blunt trauma to orbit can lead to orbital blow out fracture. Computerized tomography of paranasal sinuses plays the main role in diagnosing it. Repairing the defect and restoring the orbital contents is a challenging task for the surgeon. Endoscopic endonasal approach in reduction of blow out fracture provides good cosmetic outcomes and grossly minimize surgical complications. We report a case of 18-year-old male presented with diplopia, restriction of eye movements and enophthalmos due to Road traffic accident. CT paranasal sinuses showed right side floor, medial orbital wall fracture with medial rectus muscle entrapment. We planned endoscopic endonasal approach to reduce the fracture and multilayered repair done using bone resected from choncha bullosa, fat and fascia lata. Patient relieved of symptoms post operatively without any complications.

摘要

眼眶钝性外伤可导致眼眶爆裂性骨折。鼻窦计算机断层扫描在其诊断中起主要作用。修复缺损并恢复眼眶内容物对外科医生来说是一项具有挑战性的任务。鼻内镜下鼻内入路修复爆裂性骨折可获得良好的美容效果，并极大地减少手术并发症。我们报告一例18岁男性因道路交通事故出现复视、眼球运动受限和眼球内陷。鼻窦CT显示右侧眶底、眶内侧壁骨折伴内直肌嵌顿。我们计划采用鼻内镜下鼻内入路复位骨折，并使用从泡状鼻甲切除的骨、脂肪和阔筋膜进行多层修复。患者术后症状缓解，无任何并发症。