Blanc J L, Cheynet F, Lagier J P, Lachard J
Service de Stomatologie, C.H.U. de la Timone, Marseille.
Rev Stomatol Chir Maxillofac. 1988;89(4):199-203.
Trapdoor fractures of the floor of the orbit were first described in 1965 by Soll and Poley. The authors discuss the pathology and pathogenic theories for these lesions and present 8 cases. The diagnosis is essentially clinical and is frequently supported by computed tomography when it is performed rapidly. The surgical procedure is designed to release the herniated tissues by lowering the orbital floor so as not to aggravate the constrictive lesions. These fractures constitute surgical emergencies and their prognosis depends on the nature of the tissues incarcerated.
眶底陷窝骨折最早于1965年由索尔和波利描述。作者讨论了这些损伤的病理学和发病机制理论,并介绍了8例病例。诊断主要依靠临床,快速进行计算机断层扫描时通常能提供支持。手术操作旨在通过降低眶底来松解疝出的组织,以免加重狭窄性损伤。这些骨折属于外科急症,其预后取决于嵌顿组织的性质。