经睑下缘及内眦切口内镜辅助下眶壁骨折治疗初探

Subciliary and endocanthion approach endoscopic-aided repair of orbital fractures

目的探讨经睑下缘径路内镜辅助下手术治疗眶壁骨折的可行性。方法 对2例外伤所致的眶壁骨折患者,经睑下缘及内眦切口内镜辅助下分离嵌顿的眼肌,于眶下壁及眶内壁置入钛板。结果 1例患者术后复视消失,术后视力1.2,无下降。1例患者术后仍有眼球内陷及复视,术后左眼视力由0.25提高到0.6,右眼仍为1.0。结论经睑下缘及内眦切口内镜辅助手术治疗眶壁骨折视野清楚,操作准确,无严重的手术并发症发生。

Objective To assess the validity and accuracy of endoscopically aided subciliary and inner canthus approach repair of orbital fractures.Methods Two patients with orbital fractures were treated with titanium mesh under complete endoscopically aided visualization,through a subciliary and inner canthus approach graft that was placed over the defect under complete visual control using endoscopes.Results One operated case had satisfactory results,both functionally and cosmetically.The other was still diplopia and enophthalmos,but his visual acuity was improved from 0.25 to 0.6.Conclusion Subciliary and endocanthion approach endoscopic-aided repair of orbital fractures gives better visualization of the fracture and less complications occur.