早期确定性手术治疗严重鼻眶筛区骨折

山东大学耳鼻喉眼学报

早期确定性手术治疗严重鼻眶筛区骨折

邵山¹，徐欣²，马跃²，蓝菁²，黄海云²

1. 济南市第三人民医院, 山东济南 250101; 2. 山东大学口腔医院,山东济南 250012

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-06-24 发布日期:2007-06-24
通讯作者: 邵山

Early definitive surgery in the treatment of serious naso-orbital-ethmoid fractures

SHAO Shan¹, XU Xin², MA Yue², LAN Jing², HUANG Hai-yun²,

1. Jinan Third People′s Hospital, Jinan 250101, Shandong, China;2. Stomatology Hospital of Shandong University， Shandong 250012, Shandong, China

Received:1900-01-01 Revised:1900-01-01 Online:2007-06-24 Published:2007-06-24
Contact: SHAO Shan

摘要/Abstract

摘要： 目的：探讨早期确定性手术治疗鼻眶筛区（naso-orbital-ethmoid， NOE）骨折的疗效。方法:对23例严重鼻眶筛区骨折急诊患者，根据全身状况、骨折部位、畸形特征确定手术顺序、术式组合，行鼻眶筛区骨折复位、微型钛板坚固内固定、内眦韧带悬吊等，恢复面部支架、外形及功能。结果:23例患者面型、张口度及咬颌关系均恢复或基本恢复正常，内眦间距变小，内眦水平鼻梁矢状高度增大，3例眼球陷没改善，复视消失。结论:对严重鼻眶筛区骨折患者应尽早施行确定性手术。

关键词: 鼻眶筛区, 坚固内固定

Abstract: Objective： To explore the clinical effect of early definitive surgery for naso-orbital-ethmoid fractures. Methods： Ddefinitive surgeries in early stage such as reduction of the fracture, rigid internal fixation (RIF), reconstruction, reattachment of the medial canthal ligament were performed on 23 cases of naso-orbital-ethmoid fractures based on the conditions of physical examination, fracture and malformation. Results： In the 23 cases, the complexions, occlusive relation and open reduction were resumed or nearly resumed. Conclusion： Early definitive surgery is a reliable and effective technique for naso-orbital-ethmoid fractures patients.

Key words: Naso-orbital-ethmoid, Rigid internal fixation

中图分类号:

R765.8

邵山,徐欣,马跃,蓝菁,黄海云 . 早期确定性手术治疗严重鼻眶筛区骨折[J]. 山东大学耳鼻喉眼学报, 2007, 21(3): 241-242 .

SHAO Shan,XU Xin,MA Yue,LAN Jing,HUANG Hai-yun, . Early definitive surgery in the treatment of serious naso-orbital-ethmoid fractures[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2007, 21(3): 241-242 .

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