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眶底爆裂性骨折伴眼球移位入上颌窦:病例报告及文献复习。

Orbital Blowout Fracture With Globe Displacement Into the Maxillary Sinus: A Case Report and Literature Review.

机构信息

Resident, Oral and Maxillofacial Surgery, Hospital de Clínicas de Passo Fundo, Passo Fundo, Brazil.

Resident, Oral and Maxillofacial Surgery, Hospital de Clínicas de Passo Fundo, Passo Fundo, Brazil.

出版信息

J Oral Maxillofac Surg. 2021 Jan;79(1):204.e1-204.e12. doi: 10.1016/j.joms.2020.09.034. Epub 2020 Sep 24.

Abstract

Blunt trauma in the orbital region often results in fracture of 1 or more bone walls resulting in alteration of the orbital volume with the potential for visual sequelae. This study reports a rare case of displacement of the eyeball into the maxillary sinus after blunt trauma as well as its initial management, treatment, and clinical follow-up. Victims of eyeball displacement have a poor visual prognosis. Even if the patient has already been diagnosed with amaurosis on arrival to the hospital, all measures for rapid eye repositioning and reconstruction of the orbital cavity must be instituted, as well as appropriate clinical and pharmacologic management to avoid further complications.

摘要

眼眶区域的钝挫伤常导致 1 个或多个骨壁骨折,从而改变眼眶容积,并可能导致视觉后遗症。本研究报告了一例罕见的眼眶钝挫伤后眼球移位至上颌窦的病例,以及其初步的处理、治疗和临床随访。眼球移位的患者视力预后较差。即使患者在到达医院时已经被诊断为失明,也必须立即采取措施快速将眼球复位,并重建眼眶,同时进行适当的临床和药物治疗,以避免进一步的并发症。

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