Simon H
Laryngol Rhinol Otol (Stuttg). 1985 Feb;64(2):93-7.
The causes, types and degrees of zygoma fracture and fractures of the orbital floor and the orbital rim are described in general. The preoperative clinical signs, as seen from the viewpoints of the oto-rhino-laryngologist, the ophthalmologist, and the maxillofacial surgeon, combined with exact x-ray or computer tomograms, determine the timing of the action to be taken by the specialist. Endoscopy of the nose and the maxillary sinus by removing blood clots with an aspirator is of diagnostic as well as therapeutic value. The pros and cons of the different operation techniques are discussed. In blow-out fractures which need a reinforcement of the orbital floor, advantages and disadvantages of several autoplastic, and alloplastic materials are compared. Wire fixation technique is described along with the indication for miniplate osteosynthesis and the support by a balloon catheter. Own results using the ballon catheter emphasise the successful and risk-free technique.
本文总体描述了颧骨骨折、眶底骨折和眶缘骨折的病因、类型及程度。从耳鼻喉科医生、眼科医生和颌面外科医生的角度来看，术前临床体征，结合精确的X线或计算机断层扫描，决定了专科医生采取行动的时机。用吸引器清除血凝块后对鼻腔和上颌窦进行内镜检查具有诊断和治疗价值。文中讨论了不同手术技术的优缺点。对于需要加固眶底的爆裂性骨折，比较了几种自体材料和异体材料的优缺点。介绍了钢丝固定技术以及微型钢板骨合成的适应证和球囊导管支撑。使用球囊导管的自身结果强调了该技术的成功性和安全性。
