复合性眶颧颌骨折的急诊整复治疗

Emergency surgical treatment of orbital-zygomatic-maxilla fracture

目的:探讨复合性眶颧颌骨折患者急诊手术治疗效果。方法:回顾总结2008-05/2010-09急诊收治的31例复合性眶颧颌骨折患者的手术疗效。结果:患者31例31眼术后随访1～12mo。术后视力提高26例,眼球内陷5例,但均<2mm,复视2例,眶下神经麻痹5例,义眼1例,眼球萎缩1例。CT复查,与健侧相比,无显著性差异。未见植入物感染、移位及脱出。结论:复合性眶颧颌骨折急诊整复术疗效确切,并发症少。因此,在条件具备的情况下,急诊整复术是治疗复合性眶壁骨折最有效的方法。

AIM：To evaluate the effect of emergency surgical treatment for orbit-zygoma-maxilla fracture（OZMF）.METHODS：31 cases with OZMF treated by emergency surgery from May 2008 to September 2010 were reviewed and summarized,and their surgical effects were analyzed.RESULTS：Totally 31 cases（31 eyes） were followed-up after operation for one to twelve months.The visions were raised in 26 cases.The enophthalmos appeared in 5 cases,all less than 2mm.The diplopia presented in 2 cases.There were 5 cases with inferior orbital nerve anesthesia.The ocular prosthesis was in 1 case.The eyeball atrophy was also in 1 case.According to the computer tomography（CT） examination,there were no significant differences compared with healthful orbit.There were no infection,migration and extrusion of implants.CONCLUSION：Emergency surgical management is an effective means for the OZMF,and the complication is lower.Therefore the emergency surgery is the most effective method for the OZMF under the better conditions.