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经结膜切口在眶底和眶下缘骨折中的应用 被引量:3

Transconjunctival approach to the fractures of the orbital floor and infraorbital rim
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摘要 目的 :探讨眶底和眶下缘骨折的手术进路。方法 :对 15例眶底和眶下缘骨折采用经结膜切口进行治疗。结果 :所有病例都在经结膜切口下完成眶底和眶下缘骨折的复位和固定 ,术后伤口均一期愈合 ,无睑外翻、泪道损伤等并发症发生。结论 :经结膜切口是治疗眶底和眶下缘骨折的一种较为理想的手术进路 ,能提供足够的暴露并避免面部瘢痕形成。 Objective:To study the surgical approach to the orbital floor and infraorbital rim.Method:15 cases of fractures of the orbital floor and infraorbital rim were treated with the transconjunctival approach.Result:All fractures of the orbital floor and infraorbital rim were repositioned and fixed through transconjunctival approach. Except for 1 case with mild canthal malposition, no other complication was observed.Conclusion:The transconjunctival approach can provide adequate exposure of the infraorbital rim and orbital floor without scar formation in the face.
出处 《临床耳鼻咽喉科杂志》 CSCD 北大核心 2001年第5期216-217,共2页 Journal of Clinical Otorhinolaryngology
关键词 眶骨折 骨折内固定术 经结膜切口 Orbital fractures Fracture fixation,internal
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  • 1[1]Shumrick K A,Kersten R C,Kulwin D R,et al.Criteria for selective management of the orbital rim and floor in zygomatic complex and midface fractures.Arch Otolaryngol Head Neck Surg,1997,123:378-384.
  • 2[2]Manson P N.Facial injuries.In:Mc Carthy J G ed.Plastic surgery.Philadelphia:WB Saunders Co,1990.867-1141.
  • 3[3]Lorenz H P,Longaker M T,Kawamoto H K,et al.Primary and secondary orbital surgery:The transconjunctival approach.Plast Reconstr Surg,1996,103:1124-1128.
  • 4[4]De Chalain T M B,Cohen S R,Burstein F D.Modification of the transconjunctival low lid approach to the orbital floor:Lateral paracanthal incision.Plast Reconstr Surg,1994,94:877-880.
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