Freihofer H P
Afd. Mond- en Kaakchirurgie Academisch Ziekenhuis, Nijmegen.
Fortschr Kiefer Gesichtschir. 1994;39:58-61.
Over a 12 year period 56 patients presented for secondary corrections of the periorbital region after trauma. Corrections after isolated fracture of the zygoma improved the final result in 75% of the cases. Further correction seems useless. After midface fractures 85% became acceptable or good results. Tertiary corrections are usefull. The results after front-basal fractures were comparable. Twenty percent of the secondary canthopexies had to be revised once more. The final result was at least acceptable in all cases. Not all secondary nose-corrections lead directly to success, however, after further corrections only 5 percent remained unacceptable. Finally, overall good results were established in 60 percent and in another 20 percent at least an acceptable result could be reached.
在12年的时间里,56例患者因创伤后眶周区域的二次矫正前来就诊。颧骨孤立骨折后的矫正使75%的病例最终结果得到改善。进一步矫正似乎没有用处。面中部骨折后,85%的结果变得可以接受或良好。三次矫正很有用。额基底骨折后的结果相当。20%的二次内眦固定术需要再次修正。所有病例的最终结果至少是可以接受的。然而,并非所有的二次鼻矫正都能直接成功,经过进一步矫正后,只有5%仍不可接受。最终,60%的患者取得了总体良好的结果,另有20%至少达到了可接受的结果。