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经结膜切口在眶底和眶下缘骨折中的应用
引用本文:严文洪,陆肇曾,栾菁,丁浩,董人禾.经结膜切口在眶底和眶下缘骨折中的应用[J].临床耳鼻咽喉头颈外科杂志,2001,15(5):216-217.
作者姓名:严文洪  陆肇曾  栾菁  丁浩  董人禾
作者单位:1. 复旦大学医学院附属华山医院耳鼻咽喉-头颈外科
2. 复旦大学医学院附属华山医院眼科
摘    要:目的 :探讨眶底和眶下缘骨折的手术进路。方法 :对 15例眶底和眶下缘骨折采用经结膜切口进行治疗。结果 :所有病例都在经结膜切口下完成眶底和眶下缘骨折的复位和固定 ,术后伤口均一期愈合 ,无睑外翻、泪道损伤等并发症发生。结论 :经结膜切口是治疗眶底和眶下缘骨折的一种较为理想的手术进路 ,能提供足够的暴露并避免面部瘢痕形成。

关 键 词:眶骨折  骨折内固定术
文章编号:1001-1781(2001)05-0216-02
修稿时间:2000年9月26日

Transconjunctival approach to the fractures of the orbital floor and infraorbital rim
YAN Wenhong,LU Zhaozeng,LUAN Jing,DING Hao,DONG Renhe.Transconjunctival approach to the fractures of the orbital floor and infraorbital rim[J].Journal of Clinical Otorhinolaryngology,2001,15(5):216-217.
Authors:YAN Wenhong  LU Zhaozeng  LUAN Jing  DING Hao  DONG Renhe
Institution:Department of Otolaryngology-Head and Neck Surgery, Huashan Hospital, Fudan University, Shanghai 200040.
Abstract:Objective:To study the surgical approach to the orbital floor and infraorbital rim.Method:15 cases of fractures of the orbital floor and infraorbital rim were treated with the transconjunctival approach.Result:All fractures of the orbital floor and infraorbital rim were repositioned and fixed through transconjunctival approach. Except for 1 case with mild canthal malposition, no other complication was observed.Conclusion:The transconjunctival approach can provide adequate exposure of the infraorbital rim and orbital floor without scar formation in the face.
Keywords:Orbital fractures  Fracture fixation  internal
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