鼻内镜下泪前隐窝入路治疗眶底壁骨折

Expand prelacrimal recess-maxillary ainus approach for inferior orbital walls fracture treatment

目的:探讨经鼻内镜下泪前隐窝入路方式治疗眶底壁骨折的手术方法和疗效。方法:回顾性分析5例鼻内镜下泪前隐窝入路途径治疗眶底壁骨折患者的临床资料,分析该术式的手术方法及其疗效。结果:术后随访1年,4例患者复视消失,1例复视较术前明显减轻;眼球活动范围正常,眼球塌陷完全矫正。结论:鼻内镜下泪前隐窝入路治疗眶底壁骨折是一种行之有效的手术方法,具有术中创伤小,面部无切口,视野清晰,手术操作空间开阔等特点,值得临床推广。

Objective:To investigate the surgical technique and curative effect of transnasal endoscopic anterior lacrimal approach for the treatment of sacral wall fractures.Method:Retrospective clinical analysis of 5 patients with inferior orbital walls fracture treated by expanding prelacrimal recess-maxillary ainus under nasal endoscope was studied,and the surgical method and its efficacy were annalyzed.Result:After 1 year of follow-up,4 patients’ diplopia symptom disappeared,and 1 patient’s diplopia symptom was significantly relieved compared with preoperation,the range of eye movement was normal and enophthalmos were totally corrected.Conclusion:Expanding prelacrimal recess-maxillary ainus approach for the treatment of the inferior orbital walls fracture is an effective surgical method.It has the characteristics of less trauma,no incision on the face,clear visual field and wide space of operation,which is worthy of clinical promotion.