鼻内窥镜下经筛窦治疗爆裂性眶内壁骨折  被引量:2

Treatment of explosive medial orbital fracture through the ethmiod sinus under nasal endoscope

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作  者:周宏峰[1] 张立平[2] 

机构地区:[1]丹东市中心医院眼科,辽宁丹东118002 [2]丹东市中心医院耳鼻咽喉头颈外科,辽宁丹东118002

出  处:《眼外伤职业眼病杂志》2006年第9期681-682,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘  要:目的探讨鼻内窥镜下经筛窦治疗爆裂性眶内壁骨折的临床疗效。方法25例爆裂性眶内壁骨折在鼻内窥镜下切除筛窦房隔及外伤损伤的眶纸板,将制备好的多孔硅胶片,凸面向外填塞进筛窦术腔,对眶纸板进行施压复位。结果随访3月-2年,治愈22例,占88.00%。2例术后残留周边复视,总有效率为96.00%。术后无眶内感染或其他并发症。结论鼻内窥镜下经筛窦治疗眶内壁骨折是有效的方法,疗效稳定,创伤小、手术时间短而且面部不留瘢痕,硅胶片可以长期存留。Objective To study the clinical curative effects of explosive medial orbital fracture through the ethmiod sinus under nasal endoscope. Methods In 25 eases with the explosive orbital fracture, nasal endoscope was used to remove the ethmoid sinus atrial septum and the traumatic orbital lamina, temponaded the ethmoidal operated cavity with the prepared porous silica-gel path whose convex outward, then pressed and reposited the orbital lamia. Results After 3-month to 2-year follow-up,22 cases had been cured, accounting for 88% and 2 cases had residual peripheral double vision with 96% total effectiveness after operation. No one had intraorbital infection and other complications. Conclusions It's an effective way to treat the medial orbial fracture through the ethmoid sinus under the nasal endoscope, with little wound and short operation time, without any scar on the face.

关 键 词:眶内壁骨折 鼻内窥镜 筛窦 

分 类 号:R779.6[医药卫生—眼科]

 

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