Ⅲ型鼻眶筛骨折开放式手术客观疗效评估12例

Objective evaluation of therapeutic effect of open surgery in 12 patients with type Ⅲ naso-orbital-ethmoid fractures

目的分析螺旋CT扫描三维重建测量客观评估Ⅲ型鼻眶筛骨折手术临床疗效的价值。方法选取2018年4月—2022年12月就诊于我院眼耳鼻整形外科的鼻眶筛骨折患者共计12例,利用Mimics Medica软件系统进行螺旋CT三维重建,测量术前和术后的内眦间距、鼻根高度、鼻高、鼻长、鼻宽和鼻偏斜度,评估眼鼻外形的改善效果。结果鼻根高度、鼻偏斜度术后有明显改善,其余测量指标术前和术后无明显差异。结论Mimic软件系统螺旋CT三维重建和测量可以客观评价鼻眶筛骨折开放式手术改善鼻外形的临床疗效。

Objective To analyze the value of iterative reconstruction measurement with spiral CT scanning in evaluating the curative effect of typeⅢnaso-orbito-ethmoid fractures objectively.Methods From April 2018 to December 2022,a total of 12 patients with naso-orbital-ethmoid-fracture were selected from the Department of Facial Plastic and Reconstructive Surgery,Eye&ENT Hospital of Fudan University.By using the Mimics Medica software system,spiral CT iterative reconstruction was performed to measure the inner canthal distance,nasal root height,nasal height,nasal length,nasal width,nasal deviation and orbital volume before and after the surgery,and to evaluate the improvement of eyes and nose in appearance.Results There were significant improvement in nasal root height and nasal deviation after the surgery.The other indicators showed no significant difference before and after the surgery.Conclusions Mimic software system spiral CT iterative reconstruction and measurement could be used to objectively evaluate the clinical efficacy of open surgery for naso-orbital-ethmoid fracture and to improve the shape of eyes and nose.