经泪阜入路修复眼眶内侧壁骨折后眼球内陷

Transcaruncular Approach in Restoring Enophthalmos after Medial Orbital Wall Fracture

目的探讨经泪阜入路修复眼眶内侧壁骨折后眼球内陷的手术方法和疗效。方法 2004年9月至2010年3月,收治36例眼眶内侧壁骨折眼球内陷患者。根据术前眼眶水平位及冠状位CT检查,确认眶骨骨折及眶内容物移位情况。术中经泪阜入路修复眼眶内侧壁骨折后的眼球内陷。结果术后除5例改善不明显外,其余患者眼球内陷畸形均获明显改善,皮肤面不遗留手术切口瘢痕。术后患者均获随访,随访时间1年。结论经泪阜人路修复眼眶内侧壁骨折所致眼球内陷,比传统方法更加快捷,术后患者外形更美观。

Objective To discuss the therapeutic effect of transearuncular approach in restoring enophthalmos after medial orbital wall fracture. Methods From September 2004 to March 2010, 36 patients with enophthalmos after medial orbital wall fracture were treated. Preoperative computed tomography both in coronal and axial projection was used to confirm the condition of orbital fracture and orbital content displacement. Transcaruncular approach was used to restore enophthalmos after medial orbital wall fracture. Results Except 5 cases, the enophthalmos in other cases were obviously improved, no incisional sear was remained on skin. All patients were fallowed up for 1 year. Conclusion Transcaruncular approach in restoring enophthalmos after medial orbital wall fracture is more convenient and cosmetic than traditional methods.