Reynolds J R
Plast Reconstr Surg. 1978 Jun;61(6):871-5.
The late presence of contour defects, as well as one eye being lower than the other, were directly related to a lack of interosseous wire fixation in this series of mid-facial fractures. In orbital floor fractures, the use of alloplastic material was found to give more satisfactory long-term results than bone grafts. The direct approach through the lower lid produced no complications of its own in this series. Associated injuries and preexisting disease were found in 61 percent of these patients, supporting the thesis that an M.D. should direct their care. The late presence of diplopia and/or enophthalmos was directly related to an underestimation and undertreatment of orbital floor fractures, or to treatment with bone grafts. The use of a shoulder strap, in conjunction with the lap belt, seems to almost completely prevent the occurrence of mid-facial fractures in automobile accidents.
在这组面中部骨折中，轮廓缺损的延迟出现以及一侧眼睛低于另一侧，直接与缺乏骨间钢丝固定有关。在眶底骨折中，发现使用异体材料比骨移植能产生更令人满意的长期效果。在本组中，经下睑的直接入路本身未产生并发症。61%的这些患者存在相关损伤和既往疾病，支持应由医学博士指导其治疗的观点。复视和/或眼球内陷的延迟出现直接与眶底骨折的低估和治疗不足或骨移植治疗有关。在汽车事故中，使用肩带结合腰部安全带似乎几乎能完全防止面中部骨折的发生。
