Duvall A J, Foster C A, Lyons D P, Letson R D
Laryngoscope. 1981 Feb;91(2):173-83.
Naso-orbital trauma can cause medial orbital wall disruption and detachment of the medial canthal ligament. Damage to the nasolacrimal drainage apparatus, cerebrospinal fluid rhinorrhea and frontal sinusitis can occur. Twelve cases of naso-orbital trauma have been reviewed. There is a high incidence of associated injury to adjacent structures. Medial canthal ligament separation was missed acutely in a number of cases leading to the necessity of delayed repair. Important diagnostic and therapeutic points are stressed in the acute and delayed management, particularly medial canthal ligament separation. A wire to intranasal button technique for the delayed repair of traumatic telecanthus is presented.
鼻眶部创伤可导致眶内侧壁破裂和内眦韧带离断。还可能发生鼻泪引流装置损伤、脑脊液鼻漏和额窦炎。回顾了12例鼻眶部创伤病例。相邻结构的合并损伤发生率很高。在一些病例中，内眦韧带分离在急性期被漏诊，导致需要延迟修复。本文强调了急性和延迟处理中的重要诊断和治疗要点，尤其是内眦韧带分离。介绍了一种用于外伤性眦距增宽延迟修复的鼻内纽扣钢丝技术。
