Bartkowski S B, Kurek M, Stypulkowska J, Krzystkowa K M, Zapala J
J Maxillofac Surg. 1984 Jun;12(3):97-102. doi: 10.1016/s0301-0503(84)80221-0.
The interdisciplinary problem of foreign bodies in the orbit is presented on the basis of personal experience in the treatment of 20 patients. These foreign bodies often cause severe injuries to the organ of sight and even threaten life. Early removal of a foreign body is technically easy, prevents infection and facilitates anatomical reconstruction of the damaged structures. Only in exceptional cases may removal be avoided. Of the 20 patients treated, only 9 were early admissions to our Department where the foreign body was removed and primary surgery performed. The others were admitted after some delay, which made correct treatment more difficult. Data on the injuries found in 20 patients, surgical technique, follow up and results are presented. Total recovery was obtained in 7 patients, improvement in vision in 2, enucleation of the globe was necessary in 5, and in 2 loss of vision was a sequel to a lesion of the optic nerve. Depending on the indications, reconstructive plastic surgery and prosthetic rehabilitation gave good aesthetic results. The necessity for interdisciplinary collaboration in the diagnosis and treatment of patients with foreign bodies in the orbit is emphasized.
基于对20例眼眶异物患者的治疗经验，阐述了眼眶异物这一跨学科问题。这些异物常对视器官造成严重损伤，甚至危及生命。早期取出异物在技术上较为容易，可预防感染并便于对受损结构进行解剖重建。仅在特殊情况下才可避免取出异物。在接受治疗的20例患者中，仅有9例是早期入住我科，异物得以取出并进行了一期手术。其他患者入院有所延迟，这使得正确治疗更加困难。文中呈现了20例患者的损伤情况、手术技术、随访及结果数据。7例患者完全康复，2例视力有所改善，5例需要摘除眼球，2例因视神经损伤导致视力丧失。根据适应证，整形修复手术和假体康复取得了良好的美学效果。强调了眼眶异物患者诊断和治疗中跨学科协作的必要性。
