眶内侧壁截骨内移结合眶外侧壁Medpor填充治疗眶距增宽症

The osteotomy and medial migration of inter-orbital wall,and the implantation of the Medpor into the lateral wall of orbit to correct the orbital hypertelorism

目的:通过对眶周软组织进行充分剥离松解,对眶内侧壁进行充分的截骨压缩,在眶外侧壁填充人工材料Medpor的方法,对眶距增宽患者进行手术治疗,以达到减少手术创伤,降低术后复发率的目的。方法:4例患者三男一女,不合并颅面外科其它畸形。采用本术式进行治疗,观察评估术后效果。结果:患者术后均恢复良好,伤口愈合佳,未出现感染,视力减退等并发症,术后眼球动度良好,Medpor植入体稳定,未出现排异,感染及外露等情况。结论:"眶内侧壁截骨内移,眶外侧壁Medpor植入填充,眶距增宽矫正术"的手术方式是对传统的眶内侧壁截骨的手术方式的改良。2008-2011年间,笔者应用此方法对四例病人进行眶距增宽矫正术,并取得了较为满意的临床手术效果。

Objective Through the complete dissection to soft tissue inter and around of orbital bone,the osteotomy and medial migration of medial orbital wall,and the implantation of the Medpor into the lateral wall of orbit to correct the hypertelorism and reduce the rate of postoperative recurrence.Methods There were 4 patients with orbital hypertelorism accepted this kind of operation.Through the operation we will observe and evaluate the result after the operation.Results All the patients had a good result,All the wound cured well.There were not complications in the approach such as postoperative hemorrhage,leakage of cerebrospinal,vision loss and infection.The mobility of the eye ball was good.The implanted Medpor is stable（no rejection and exposure）,the appearance of the patients is improved well.Conclusions This method is a modification to the traditional Osteotomy for inter-orbital wall.In 2008 and 2011,this approach has been applied to four cases and achieved satisfactory clinic results.