获得性眶骨畸形与缺损的整复

目的 探讨获得性眶骨畸形的修复重建方法.方法 采用头皮冠(半冠)状切口、下脸睫毛缘下切口以及口内龈颊沟切口入路,个别患者采用眶周原有的瘢痕做切口,对眶壁骨组织进行截骨复位,或移植下颌骨外板修复眶骨缺损,以完成眼眶完整性的重建.结果 2002年9月至2006年6月,共治疗64例获得性眶骨畸形,术后患者恢复了正常的眼眶结构和眼球位置,无严重并发症发生.结论 获得性眶骨畸形的治疗应以恢复眼眶的完整性为重要治疗目标,以截骨复位矫正眶周畸形、自体下颌骨外板为材料修复骨缺损,有较好的临床治疗效果.

Reconstruction of the acquired orbital deformities

Objective To investigate the reconstruction of acquired orbital deformities.Methods Through coronal incisions,subciliary incisions and buccul suleus incisions,or periorbital wound,the displaced orbital walls were reposltioned after nsteotomy.And the mandibular outer cortex was used to repair the bone defect,so as to restore the orital integrity.Results From Sept.2002 to Jun.2006,64 patients with acquired orbital deformities were treated.The integrity of orbit and eyeball location recovered very well.Conclusions Restoration of the orbital integrity is the key to the treatment of acquired orbital deformities.The petiorhital deformities should be corrected after osteotomy with mandibular outer cortex for bone defect.