山东大学耳鼻喉眼学报 ›› 2019, Vol. 33 ›› Issue (5): 79-81.doi: 10.6040/j.issn.1673-3770.0.2019.022

• 论著 • 上一篇    下一篇

经上颌窦径路修复眶下壁骨折伴眶内容脱垂及下直肌嵌顿

刘玉柱1,高英恺1,2(),蒋贵云3,裴皓旭4,岳小雪4   

  1. 1. 潍坊医学院研究生院耳鼻喉教研室，山东 潍坊 261053
    2. 潍坊医学院附属潍坊市中医院耳鼻喉科，山东 潍坊 261041
    3. 枣庄市中医院耳鼻喉科，山东 枣庄 277101
    4. 山东中医药大学研究生院耳鼻喉教研室，山东 济南 250014
  • 收稿日期:2019-01-11 修回日期:2019-05-23 出版日期:2019-09-20 发布日期:2019-10-15
  • 通讯作者: 高英恺 E-mail:wfebh@163.com

Surgical repair of orbital floor fracture with content prolapse and inferior rectus incarceration through maxillary sinus approach

Yuzhu LIU1,Yingkai GAO1,2(),Guiyun JIANG3,Haoxu PEI4,Xiaoxue YUE4   

  1. 1. Department of Otolaryngology, Weifang Medical University, Weifang 261053, Shandong, China
    2. Department of Otolaryngology, Weifang Hospital of Traditional Chinese Medicine, Weifang Medical College, Weifang 261041, Shandong, China
    3. Department of Otolaryngology, Zaozhuang Hospital of Traditional Chinese Medicine, Zaozhuang 277101, Shandong, China
    4. Department of Otolaryngology, Shandong University of Traditional Chinese Medicine, Jinan 250014, Shandong, China
  • Received:2019-01-11 Revised:2019-05-23 Online:2019-09-20 Published:2019-10-15
  • Contact: Yingkai GAO E-mail:wfebh@163.com

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摘要： 目的

探讨经上颌窦径路鼻内窥镜下眶下壁骨折伴眶内容脱垂及下直肌嵌顿复位及手术修复的疗效。

方法

选取2002年 1 月～2017 年12月收治的眶下壁骨折伴眶内容脱垂及下直肌嵌顿患者7例，均采用上颌窦径路鼻内窥镜下眶下壁骨折复位术、眶内容物还纳术及下直肌嵌顿松解术，以Foley氏尿道球囊导管支撑眶底。

 结果

术后14d抽出上颌窦球囊导管，7例患者复视均消失，眼位及眼球运动恢复正常。7例患者视力较术前均无改变。

 结论

经上颌窦径路眶下壁骨折伴眶内容脱垂及下直肌嵌顿的复位及手术修复，具有创伤小、无面部切口、视野清晰、手术空间广等优点。

关键词: 眶下壁骨折, 经上颌窦径路, 手术修复

Abstract: Objective

To explore the effects of surgical repair of orbital floor fracture with content prolapse and inferior rectus incarceration through the maxillary sinus approach.

Methods

From January 2002 to December 2017, 7 patients with orbital floor fracture with content prolapse and inferior rectus incarceration were treated in our hospital. The patients underwent nasal endoscopic reduction of orbital floor fracture through the maxillary sinus approach, restoration of content prolapse, and lysis of inferior rectus incarceration, supporting the bottom with a Foley′s urethral balloon catheter.

 Results

The maxillary sinus balloon catheter was withdrawn 14 days after the surgery. Seven cases of double vision disappeared, and the eye position and movement returned to normal. Seven patients had no change in visual acuity compared to their preoperative values.

 Conclusion

Surgical repair through the maxillary sinus approach of orbital floor fracture with sacral content prolapse and inferior rectus incarceration reduction is characterized by less trauma, no incision on the face, clear visual field, and wide space available for operation.

Key words: Orbital floor fracture, Maxillary sinus approach, Surgical repair

中图分类号: 

  • R770.4

图1

患者术前CT结果。 a.轴位; b. 冠位"

图2

患者术后CT结果。 a.轴位; b. 冠位"

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