眶-颧-上颌骨骨折伴眼球萎缩的联合手术治疗

The Combined Surgical Treatment of Zygoma Orbit Complex Fracture and Atrophy of Eyeball

ObjectiveTo explore the combined surgical method for treatment of fracture of the orbital maxillary zygomatic and eyeball atrophy， and evaluate its effect. MethodsA retrospective clinical study was performed on 12 patients with fracture of the orbital maxillary zygomatic and eyeball atrophy who were treated at Tianjin Medical University General Hospital between September 2009 and November 2011. Surgical effects were followed up such as facial appearance， exophthalmos and activity of the ocular prosthesis， mouth opening and jaw relationship. ResultsPatients were followed up for 6.8±2.6 months with a range of 3-12 months. All patients had facial symmetry and did not develop secondary infection or rejection. Ten patients wearing an ocular prosthesis had good appearance， six patients with limited mouth opening preoperatively recovered movement and the jaw relationship returned to normal postoperatively. Six patients with facial and upper lid numbness preoperatively regained feeling in 6 months postoperatively. ConclusionThe combined surgery is a valuable treatment option for fracture of the orbital maxillary zygomatic and eyeball atrophy. A single surgery can eliminate the limitation of mouth opening and improve facial appearance， which results in a good surgical outcome.