早期确定性手术治疗严重鼻眶筛区骨折  

Early definitive surgery in the treatment of serious naso-orbital-ethmoid fractures

作　　者：邵山[1] 徐欣[2] 马跃[2] 蓝菁[2] 黄海云[2] 

机构地区：[1]济南市第三人民医院,山东济南250101 [2]山东大学口腔医院,山东济南250012

出　　处：《山东大学耳鼻喉眼学报》2007年第3期241-242,共2页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的:探讨早期确定性手术治疗鼻眶筛区(naso-orbital-ethmoid,NOE)骨折的疗效。方法:对23例严重鼻眶筛区骨折急诊患者,根据全身状况、骨折部位、畸形特征确定手术顺序、术式组合,行鼻眶筛区骨折复位、微型钛板坚固内固定、内眦韧带悬吊等,恢复面部支架、外形及功能。结果:23例患者面型、张口度及咬颌关系均恢复或基本恢复正常,内眦间距变小,内眦水平鼻梁矢状高度增大,3例眼球陷没改善,复视消失。结论:对严重鼻眶筛区骨折患者应尽早施行确定性手术。Objective： To explore the clinical effect of early definitive surgery for naso-orbital-ethmoid fractures. Methods： Ddefinitive surgeries in early stage such as reduction of the fracture, rigid internal fixation （RIF）, reconstruction, reattachment of the medial canthal ligament were performed on 23 cases of naso-orbital-ethmoid fractures based on the conditions of physical examination, fracture and malformation. Results： In the 23 cases, the complexions, occlusive relation and open reduction were resumed or nearly resumed. Conclusion： Early definitive surgery is a reliable and effective technique for naso-orbital-ethmoid fractures patients.

关 键 词：鼻眶筛区 坚固内固定 

分 类 号：R765.8[医药卫生—耳鼻咽喉科]