Joughin K, Antonyshyn O, Wilson K L, Riding M
Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Ann Plast Surg. 1993 Jan;30(1):77-9. doi: 10.1097/00000637-199301000-00012.
The case of a symptomatic persistent orbital--antral fistula after silicone orbital floor reconstruction is presented. Intermittent diplopia with Valsalva maneuvers was the patient's chief complaint. Periorbital cellulitis was a suspected complication of the fistula. This case emphasizes the importance of an often overlooked goal of orbital floor reconstruction, that is, isolation of the orbital cavity from the maxillary sinus. Greater care in positioning alloplastic implants may improve their function. Autogenous materials may be superior in orbital floor reconstruction.
本文报告了1例硅胶眶底重建术后出现症状性持续性眶-鼻窦瘘的病例。患者的主要诉求是瓦尔萨尔瓦动作时出现间歇性复视。眶周蜂窝织炎被怀疑是瘘管的并发症。该病例强调了眶底重建中一个常被忽视的目标的重要性，即眼眶与上颌窦的隔离。在放置异体植入物时更加小心可能会改善其功能。自体材料在眶底重建中可能更具优势。
