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早期确定性手术治疗严重鼻眶筛区骨折
引用本文:邵山,徐欣,马跃,蓝菁,黄海云. 早期确定性手术治疗严重鼻眶筛区骨折[J]. 山东医大基础医学院学报, 2007, 0(3)
作者姓名:邵山  徐欣  马跃  蓝菁  黄海云
作者单位:济南市第三人民医院 山东济南250101(邵山),山东大学口腔医院 山东济南250012(徐欣,马跃,蓝菁,黄海云)
摘    要:目的:探讨早期确定性手术治疗鼻眶筛区(naso-orbital-ethmoid,NOE)骨折的疗效。方法:对23例严重鼻眶筛区骨折急诊患者,根据全身状况、骨折部位、畸形特征确定手术顺序、术式组合,行鼻眶筛区骨折复位、微型钛板坚固内固定、内眦韧带悬吊等,恢复面部支架、外形及功能。结果:23例患者面型、张口度及咬颌关系均恢复或基本恢复正常,内眦间距变小,内眦水平鼻梁矢状高度增大,3例眼球陷没改善,复视消失。结论:对严重鼻眶筛区骨折患者应尽早施行确定性手术。

关 键 词:鼻眶筛区  坚固内固定

Early definitive surgery in the treatment of serious naso-orbital-ethmoid fractures
SHAO Shan,XU Xin,MA Yue,LAN Jing,HUANG Hai-yun. Early definitive surgery in the treatment of serious naso-orbital-ethmoid fractures[J]. Journal of Preclinical Medicine College of Shandong Medical University, 2007, 0(3)
Authors:SHAO Shan  XU Xin  MA Yue  LAN Jing  HUANG Hai-yun
Affiliation:SHAO Shan1,XU Xin2,MA Yue2,LAN Jing2,HUANG Hai-yun2
Abstract:Objective: To explore the clinical effect of early definitive surgery for naso-orbital-ethmoid fractures.Methods: Ddefinitive surgeries in early stage such as reduction of the fracture,rigid internal fixation(RIF),reconstruction,reattachment of the medial canthal ligament were performed on 23 cases of naso-orbital-ethmoid fractures based on the conditions of physical examination,fracture and malformation.Results: In the 23 cases,the complexions,occlusive relation and open reduction were resumed or nearly resumed.Conclusion: Early definitive surgery is a reliable and effective technique for naso-orbital-ethmoid fractures patients.
Keywords:Naso-orbital-ethmoid  Rigid internal fixation
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