纤维鼻咽喉镜下经鼻治疗眶内壁骨折25例

目的:讨论在纤维鼻咽喉镜下经鼻治疗眶内壁骨折的临床疗效。方法:对25例眶内壁骨折的病人,在纤维鼻咽喉镜下经鼻切除筛窦房隔修复外伤损伤的眶纸板,将碘仿油纱条及制备好的多孔硅胶片,凸面向外填塞进筛窦术腔,对眶纸板进行施压支撑复位。结果:随访3个月至2年,治愈22例,占88.00%,2例术后残留周边复视,总有效率为96.00%。术后无1例发生眶内感染及其他并发症。结论:纤维鼻咽喉镜下经鼻治疗眶内壁骨折是有效的方法,疗效稳定,创伤小、手术时间短、面部不留癜痕,硅胶片可长期存留。

The Treatment With the Orbital Intine Fracture Through the Nose Under the Fiber Nasopharyngolaryngoscope in 25 Cases

Objective:To study the clinical curative effects of treating the orbital intine fracture through the nose under the fiber nasopharyngolaryngoscope.Methods:25 cases with the orbital intina fracture,through the nose under the fiber naso- pharyngolaryngoscope,to remove the ethmoid sinus atrial septum and the traumatic orbital lamina,stuff the ethmoidal operated cavity with the prepared porous silica-gel patch whose convex is outward,then press and reposit the orbital lamina.Results:Af- ter 3-month to 2-year follow-up,22 cases have been cured,accounting for 88% and 2 cases have residual peripheral double vi- sion,with 96% total effectiveness meter operation.No one has intraorbital infection and other complications.Conclusion:It's an effective way to treat the orbial intine fracture through the nose under the nasopharyhgolaryhgescope,with little wound and short operation time,without any scar on the face.The silica-gel patch can also be reserved for a long time.