陈旧性鼻眶骨骨折综合征的同期治疗

目的：为减轻患者痛苦，尽可能减少手术切口及手术次数，同期治疗陈旧性鼻眶骨骨折引起的鼻眼相关综合征。方法：利用解剖部位毗邻的特点。经同一进路，同时修复陈旧性鼻眶骨骨折引起的内紫韧带断裂，内紫角移位、变形，鼻泪管阻塞、溢泪，鼻梁塌陷、歪斜等一系列鼻眼综合畸形患者18例。其中男11例，女7例，年龄为5－38岁。结果：经6个月至4年的随访，除2例幼年患者仍有溢泪，另1例内紫角行第2次复位外，均获得满意效果。结论：在保证医疗质量的前提下，有关专业的医师联手协作对相关部位进行同期治疗，毕其功于一役，值得在有条件的医疗机构推广。

Simultaneous correction of late naso-ocular fracture syndrome

Objective To explore the methodology for correction of nasal and ocular fracture syndrome to decrease surgical incisions and times as much as possible. Methods Depending upon the characteristics of neighbour anatomy of nose and orbit, a series of nasal and ocular interrelated deformities caused by late naso-orbital fractures were corrected simultaneously through the same surgical incision, in 18 patients with interruption of medial canthal ligament, dislocation and deformity of medial canthal angle, obstruction of nasal-lacrimal duct, epiphora, depression of nasal bridge and deviation of nose. A total of 18 cases with late naso-orbital fracture syndrome were treated since 1997, including 11 male and 7 female cases from 5 to 38 years old. Results After 6 months to 4 years follow-up, 2 child patients were still with epiphora and another one with medial canthal angle was reposited, the rest were achieved satisfactory effects. Conclusion Surgeons, cooperated with other specialists, are able to correct the disease simultaneously. It is worth to be recommended to other hospitals.