鼻内镜辅助治疗儿童trapdoor眼眶骨折

Nasal endoscope-assisted treatment for orbital trapdoor fracture in children

目的 探讨鼻内镜辅助治疗儿童trapdoor眼眶骨折的疗效。方法 2009年6月~2013年10月我院收治儿童trapdoor眼眶骨折12例,行鼻内镜辅助治疗儿童trapdoor眼眶骨折修复术,并术后随访。结果 12例患者,其中9例术后2周复视治愈,2例术后3~6个月复视治愈,眼球上下转动均不受限,1例术后1年仍有中度复视,下直肌牵拉试验阳性。无其他严重眼部并发症,填充材料无排斥反应。术后CT检查见所有患者眼眶解剖结构恢复良好。结论 在鼻内镜辅助下行儿童trapdoor骨折修复,安全可靠,易于操作,是一种较为有效的手术方法。

Objective To investigate the efficiency of treatment of orbital trapdoor fracture in children with assistance of nasal endoscope. Methods 12 pediatric patients with orbital trapdoor fracture underwent surgical treatment with assistance of nasal endoscope from June 2009 to Oct 2013 in our hospital. And all the patients were followed up. Results Of all the 12 patients, 9 were immediately recovered from diplopia after surgery, 2 got recovered 3 to 6 months after surgery, and one still had moderate diplopia one year after surgery. Neither serious ophthalmic complications nor rejection of the filling implant occurred in all patients. Postoperative CT examination showed well-repaired orbital anatomic structure. Conclusion Treatment of orbital trapdoor fracture in children with assistance of nasal endoscope is an ideal approach which is safe and easy to manipulate.