Kaplan L J
Plast Reconstr Surg. 1982 Sep;70(3):375-8. doi: 10.1097/00006534-198209000-00017.
Compression of the intracanalicular portion of the optic nerve as a complication of repair of a zygomaticomaxillary fracture is possible in the setting of multiple orbital fractures. This is a case report of optic canal compression of the optic nerve as a results of a delayed repair of a tripod fracture using the lateral approach. This occurred in the setting of a severely fractured orbit and resulted in florid unilateral disk edema, visual loss, and an afferent pupil defect. After optic canal decompression, vision was restored and the disk edema resolved. However, the afferent pupil defect has persisted. This is as yet an unreported complication of zygomaticomaxillary fracture repair.
在多发性眼眶骨折的情况下，视神经管内段受压可能是颧上颌骨折修复的并发症。本文报告一例因采用外侧入路延迟修复颧弓骨折导致视神经管受压的病例。该情况发生在严重骨折的眼眶中，导致明显的单侧视盘水肿、视力丧失和传入性瞳孔障碍。视神经管减压术后，视力恢复，视盘水肿消退。然而，传入性瞳孔障碍仍然存在。这是颧上颌骨折修复中尚未报道的并发症。
