鼻内镜下鼻中隔软骨修复治疗爆裂性眼眶内侧壁骨折

目的：探讨鼻内镜下鼻中隔软骨修复治疗爆裂性眼眶内侧壁骨折的临床效果。方法：在鼻内镜下将骨折复位，将眶内容物还纳，以自体鼻中隔软骨植入骨折缺损处修复眶壁缺损，观察患者手术前后视力、复视、眼球突出度和眼位变化。结果：术后随访3个月～4年，28例患者术后均未出现患眼明显视力下降和视力丧失，术后眼球内陷度数为（1．5±0．6）mm，与术前（3．6±1．1）mm相比，差异有统计学意义（P〈0．05）。术后3个月，25例患者复视完全消失，2例患者第一眼位无复视，但仍有周边复视，1例术后第一眼位复视仍存在。26例术后眼球运动基本恢复正常，2例外展稍受限，但较术前好转。以上28例患者均未发现填充物移位、感染或排异反应。结论：鼻内镜下鼻中隔软骨修复爆裂性眼眶内侧壁骨折具有手术人路简捷、视野清晰、操作简便、损伤小、无面部瘢痕等优点，效果确信可靠。

Prothetic treatment of blow-out fracture in medial orbital wall with nasoseptal cartilage under nasal endoscope

Objective:To study the clinical effect of Treatment of blow-out fracture of medial orbital wall withnasoseptal cartilage under nasal endoscope.Method:Under a nasal endoscope,the fracture and the prolapsed orbital contents were reduced to the orbit,and then an autogenous nasoseptal cartilage was grafted into the orbital defect.The variations in the visual acuity,diplopia,enophthalmos degree and eyeball position were detected preoperatively and postoperatively.ResuIt:During the follow up of three months to fo...