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鼻中隔软骨修复外伤性眶壁缺损:5例报告

Repair of traumatic orbital wall defects with nasal septal cartilage: report of five cases.

作者信息

Li K K

机构信息

Department of Otolaryngology--Head and Neck Surgery, University of California, Irvine, USA.

出版信息

J Oral Maxillofac Surg. 1997 Oct;55(10):1098-102. doi: 10.1016/s0278-2391(97)90289-5.

DOI:10.1016/s0278-2391(97)90289-5
PMID:9331233
Abstract

PURPOSE

This article reports the use of nasal septal cartilage for the repair of traumatic orbital wall defects.

PATIENTS AND METHODS

Five patients with disruption of the orbital wall after facial trauma were included in this retrospective review. All of the patients underwent open reduction with internal fixation of the fractures as well as repair of the orbital wall defect with autogenous septal cartilage.

RESULTS

Nasal septal cartilage was used in four cases of orbital floor defect and one case of orbital roof defect. All of the cases were successfully treated by restoration of the orbital wall continuity.

CONCLUSION

Nasal septal cartilage is a readily accessible autogenous material that can be easily harvested with minimal donor site morbidity, and it should be considered when an autogenous orbital implant is needed for the repair of a traumatic orbital wall defect.

摘要

目的

本文报道鼻中隔软骨用于修复外伤性眶壁缺损的情况。

患者与方法

本回顾性研究纳入了5例面部外伤后眶壁破裂的患者。所有患者均接受了骨折切开复位内固定术以及用自体鼻中隔软骨修复眶壁缺损。

结果

鼻中隔软骨用于4例眶底缺损和1例眶顶缺损。所有病例均通过恢复眶壁连续性而成功治疗。

结论

鼻中隔软骨是一种易于获取的自体材料,取材时供区发病率极低,当修复外伤性眶壁缺损需要自体眶植入物时应考虑使用。

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