严重眼球破裂伴眶颧复合体骨折的手术治疗

Surgery for orbital zygomatic complex fracture with severe eyeball rupture

目的：探讨严重眼球破裂伴眶颧复合体骨折手术矫正方法。方法回顾性分析2011年3月至2014年10月我院眼科收治的严重眼球破裂伤后眼球无保留价值合并眶颧复合体骨折39例,行眼内容摘除联合羟基磷灰石义眼座植入及眶颧复合体骨折复位手术。结果张口度在经过术后功能训练后（上下切牙切缘间距）大于30 mm者39例（100.00%）,面部外形矫正双侧额面部对称,眼眶无塌陷和下移者36例（92.31%）,佩戴义眼片后37例（94.87%）眼球内陷〈2 mm,未出现永久性面神经损伤。结论严重眼球裂伤后眼球无保留价值合并眶颧复合体骨折患者联合手术治疗可以有效恢复外观,改善面部畸形及张口受限等,效果良好。

Objective To investigate the surgical correction method for the treatment of severe eyeball rupture with orbital zygomatic complex fracture. Methods The data of 39 eyes with severe eyeball rupture injury without reservation value combined with orbital zygomatic complex fracture during March 2011 to October 2014 were retrospectively analyzed. Results The degree of mouth openning after postoperative function training was more than 30 mm in 39 patients（100. 00%）. The facial appearance was bilateral symmetry without orbital collapse or downward displacement in 36 patients（92. 31%） . The enophthalmos was less than 2 mm in 37 patients after wearing ocular prosthesis. The permanent facial nerve damage did not appear. Conclusion Surgical treatment is effective for severe eyeball rupture injury without reservation value with orbital zygomatic complex fracture which can restore the appearance and improve the facial deformity and restriction of mouth openning.