带骨膜蒂颅骨外板Ⅰ期修复严重颅眶损伤的临床观察

The first plastic surgery with cranial bone outer table with self periost peduncle in phase Ⅰ in repairing severe cephalo-orbital injury

采用带骨膜蒂的自体颅骨外板一次成形术修复严重颅眶损伤。结果表明 :收治 16例出院时伤口Ⅰ期愈合 ,面容外观良好 ,其中 9例随访 6～ 2 4个月 ,X线检查显示骨性愈合 ,无骨质吸收及死骨存在。认为带骨膜蒂自体颅骨外板Ⅰ期修复严重颅眶损伤成形效果满意 ,避免二次手术 ,节省医疗费用 ,在临床上有推广应用价值。

The first plastic surgery with self cranial bone outer table with periost peduncle had been carried out to repair severe cephalo-orbital injury. Results showed that sixteen patients had been with the first healing while they were out of the hospital and they were with good facial appearance. The follow-up of 6～24 months for nine of them presented osseous healing, no bone absorption and sequestrum through X-ray examination. The self cranial bone outer table with periost peduncle (phase Ⅰ) in repairing severe cephalo-orbital injury could get satisfactory plastic results, avoid the second operation and save the medical expense. This operation way could be widely recomended in clinical.