Department of Otolaryngology-Head and Neck Surgery, University of Kansas School of Medicine, The University of Kansas Medical Center, 3901 Rainbow Boulevard, MS 3010, Kansas City, KS 66160, USA.
Facial Plast Surg Clin North Am. 2022 Feb;30(1):31-45. doi: 10.1016/j.fsc.2021.08.003.
The bony orbit is commonly involved in athletic injuries. Evaluation should include a comprehensive history and ocular examination. Computed tomography imaging is the gold standard for diagnostic testing. Urgent surgical intervention for orbital floor fractures should occur after "white eye" trapdoor fractures or if oculocardiac response occurs. Most orbital fractures do not require urgent intervention and repair can be completed within 2 weeks of injury. There are many approaches to repair orbital fractures, and consideration of techniques depends on the unique fracture pattern. Intraoperative computed tomography has become frequently used and can lead to increased identification of plate malpositioning intraoperatively.
骨眼眶在运动损伤中很常见。评估应包括全面的病史和眼部检查。计算机断层扫描成像（computed tomography imaging）是诊断测试的金标准。对于眼眶地板骨折，“白眼球”活门样骨折或发生眼球心反射时，应立即进行紧急手术干预。大多数眼眶骨折不需要紧急干预，并且可以在受伤后 2 周内完成修复。有许多修复眼眶骨折的方法，技术的考虑取决于独特的骨折模式。术中计算机断层扫描（intraoperative computed tomography）已被广泛应用，可导致术中更频繁地识别出钢板错位。
