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[经双入路治疗眶底骨折。附30例报告]

[Treatment of fractures of the floor of the orbit with a double approach. Apropos of 30 cases].

作者信息

Lintzer J P, Rochefort Y, Brachet A, Serezin A

出版信息

J Otolaryngol. 1983 Dec;12(6):397-400.

PMID:6663667
Abstract

Orbital floor fractures present an urgent motive for consulting both the ophthalmologist and the ENT surgeon. A complete surgical exploration, with a double approach, allows manual and visual control. Therefore, the floor is repaired in the best conditions with the use of a graft from the anterior wall of the maxilla. Thirty cases are presented here with a follow-up of three to five years. The object of this study is to show the necessity of cooperation between the ENT surgeon and the ophthalmologist, and the advantages of the double-sided approach. The technique gives an excellent view of the lesion, allows a sound anatomical repair with a graft taken through a Caldwell-Luc approach. On the whole, the results of this series, started in 1976, are very satisfactory.

摘要

眶底骨折是咨询眼科医生和耳鼻喉科医生的紧急原因。采用双入路进行完整的手术探查,可实现手动和视觉控制。因此,使用来自上颌前壁的移植物能在最佳条件下修复眶底。本文呈现了30例病例,随访时间为3至5年。本研究的目的是表明耳鼻喉科医生和眼科医生合作的必要性以及双侧入路的优势。该技术能很好地观察病变情况,通过柯-陆氏入路获取移植物可进行良好的解剖修复。总体而言,始于1976年的该系列研究结果非常令人满意。

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