鼻眶筛复合骨折的鼻整复手术

Nasal reconstruction in nasal-orbital-ethmoidal complex fractures

目的探讨鼻眶筛复合骨折的鼻整复的手术方法。方法回顾性总结2008年1月～2011年4月40例鼻眶筛复合骨折的病例资料,其中25例在外伤后2周内手术,15例在2周至2个月内手术,所有患者均采用钛板内固定技术对移位的骨组织进行复位固定。结果 40例患者均愈合。鼻面部外观匀称,鼻通气功能正常。结论鼻眶筛复合骨折需要尽快手术。对闭合复位手术效果不佳、创口污染较轻,且周围无化脓性病灶,清创后行钛板的内固定手术对形态和功能重建非常重要。

Objective To discuss the nasal reconstruction in nasal-orbital-ethmoidal complex fractures.Methods Clinical data of 40 patients with nasal-orbital-ethmoidal complex fractures from Jan 2008 to April 2011 was studied retrospectively.All the patients received titanium plate internal fixation of displaced bone tissue.As for the operation time,25 patients received the fixation in 2 weeks after injury and 15 within 2 weeks to 2 months after injury.Results Primary healing was achieved in all 40 patients with symmetrical facial appearance and normal ventilation.Conclusion Nasal-orbital-ethmoidal complex fractures require surgery as soon as possible.For the patients with poor surgical results of closed reduction,light contamination and without suppurative lesions around the wound,titanium plate internal fixation is very important for the reconstruction of the morphology and function.