Department for Oral and Craniomaxillofacial and Plastic Surgery, University of Cologne, Germany.
Department for Oral and Craniomaxillofacial and Plastic Surgery, University of Cologne, Germany.
J Craniomaxillofac Surg. 2018 Aug;46(8):1218-1222. doi: 10.1016/j.jcms.2018.04.013. Epub 2018 Apr 18.
Fractures of the orbital floor and orbital rim are frequently treated in maxillofacial departments. Various approaches to the orbital floor are described in the literature. We present an investigation of a modified subciliary approach (laterocaudal approach) with respect to its feasibility and clinical outcome.
Our retrospective study investigated 130 well-documented cases of patients with orbital floor fractures who received surgical reconstruction using a laterocaudal approach, and compared the results with the current literature, with a focus on subciliary and transconjunctival approaches.
111 patients (85.4%) presented a Vancouver scar scale (VSS) of 0.14 patients (10.8%) had a VSS score of 1. No patients had a VSS of 2. Just five patients (3.8%) had a slight ectropium and therefore a VSS score of 3.
The laterocaudal approach can be safely performed and presents advantages over comparable techniques such as the subciliary and transconjunctival approaches if performed correctly.
眶底和眶缘骨折在颌面外科经常治疗。文献中描述了各种入路眶底。我们介绍了改良的经眶下线（尾侧入路）的可行性和临床结果。
我们回顾性研究了 130 例经手术重建的眶底骨折患者，这些患者采用尾侧入路，将结果与目前的文献进行比较，重点是经眶下线和经结膜入路。
111 例患者（85.4%）的温哥华瘢痕量表（VSS）评分为 0.1，14 例患者（10.8%）的 VSS 评分为 1. 没有患者的 VSS 评分为 2. 只有 5 例患者（3.8%）有轻微的外翻，因此 VSS 评分为 3.
如果正确实施，尾侧入路可以安全进行，并具有优于经眶下线和经结膜入路等类似技术的优势。
