Kurzeja A, Wenzel M, Korves B, Mösges R
Abteilung für Hals-Nasen-Ohrenheilkunde, Evangelisches Krankenhaus Düsseldorf.
Laryngorhinootologie. 1994 May;73(5):274-6. doi: 10.1055/s-2007-997129.
Referring to 22 cases of surgery after frontobasal fractures of different origin with loss of vision, the surgical procedure is discussed with special consideration of the approach, technique and timing of the operation. We conclude that the external rhinological approach through the ethmoid sinus is the best and easiest access in cases of loss of vision with verified fracture or haematoma. A number of patients were operated using CAS (Computer Assisted Surgery)-Systems, a CT-based tool for three-dimensional orientation. It proved to be very useful for the surgeon, saving time and reducing the risk of additional damage. According to our experience and the results of other authors we believe that surgical intervention should be performed as early as possible.
回顾22例不同原因导致额底部骨折并伴有视力丧失的手术病例，对手术方法进行了讨论，特别考虑了手术入路、技术和时机。我们得出结论，对于经证实有骨折或血肿且视力丧失的病例，经筛窦的鼻外入路是最佳且最简便的入路。许多患者使用了计算机辅助手术（CAS）系统进行手术，这是一种基于CT的三维定位工具。事实证明，它对外科医生非常有用，节省了时间并降低了额外损伤的风险。根据我们的经验和其他作者的结果，我们认为手术干预应尽早进行。
