成型钛网联合Medpor治疗严重颧上颌复合体骨折后眼球内陷畸形  

Treatment of enophthalmos after severe malar-maxillary complex fracture with titanium mesh and high density polyethylane （Medpor）

作　　者：赵延峰[1] 陆平[1] 周晓南[1] 曲昌锋[1] 

机构地区：[1]大连市中心医院颌面外科,116033

出　　处：《中华整形外科杂志》2010年第2期96-98,共3页Chinese Journal of Plastic Surgery

摘　　要：目的 探讨严重颧上颌复合体骨折后眼球内陷畸形的手术治疗.方法 术前常规行x线检查、眶部轴位及冠状位cT扫描,了解眶骨骨折及眶内容物移位嵌顿情况,术中将骨折移位的眶缘复位.成型钛网植入重建眶底壁,应用高密度聚乙烯（Medpor）在重建的眶底壁上充填以矫正眼球内陷.结果 2007年9月至2009年1月,共治疗严重颧上颌复合体骨折合并眼球内陷畸形患者6例,所有患者眼球内陷畸形均得以明显改善或矫正.结论 对于颧上颌复合体骨折造成的严重眶底缺损及眼球内陷畸形,可通过植入成型钛网以重建眶底壁并在重建的眶底壁上充填Medpor的方法而得以有效矫正.Objective To study the surgical management of enophthalmos after severe malar-maxillary complex fracture. Methods The X-ray and CT examination were performed before operation to diagnose the orbital fracture and intraorbital tissue displacement. The fractured orbital rim was repositioned intraoperatively, followed by implantation of shaped titanium mesh to rebuild the orbital floor. The Medpor was inserted above the titanium mesh to correct the enophthalmos. Results From Sept. 2007 to Jan. 2009, 6 cases of enophthalmos after severe malar-maxillary complex fracture were treated. The enophthalmos was corrected or improved obviously in all the patients. Conclusions The enophthalmos after severe malar-maxillary complex fracture can be corrected or obviously improved. Shaped titanium mesh can be used to rebuild the orbital floor with the Medpor to reconstruct the intraorbital tissue volume.

关 键 词：钛网 高密度聚乙烯 眼球内陷 

分 类 号：R782.4[医药卫生—口腔医学]