J4 ›› 2012, Vol. 11 ›› Issue (6): 46-49.
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Abstract:
Objective: To investigate the clinical effect and surgical method of high density porous polyethylene(Medpor) implantation in repair of orbital blowout fracture. Methods: Six cases of orbital blowout fracture with operative indications underwent repair operation by Medpor implantation, then the curative effect and postoperative complication were evaluated. Results: In the 3-24 months of follow-up, the eyesight of all cases was improved after surgical vision correction. Diplopia disappeared in 2 cases, improved in 2 cases; 4 cases of patients have reached a cure standard on enophthalmos. Eyeball movement disorder symptom in 1 case cured, improved in 3 cases; with CT examination, no shift and prolapse of Medpor were observed, and Medpor successfully covered fracture hole. Conclusion: The operation could be completed under local anaesthetic in adults, Medpor is the ideal material and Medpor implantation is an effective way to cured blowout orbital fracture.
Key words: orbital blowout fracture, reconstructive surgery, high density polyethylene
CLC Number:
R779.6
ZHAO Hui-Qiong, YANG Yong-Fu, LIU Sha-Li, LIN Lan-Zhen, WANG Wen-Ji. Clinical Analysis of Six Cases of Reconstructive Surgery of Orbital Blowout Fracture[J]. J4, 2012, 11(6): 46-49.
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http://journal15.magtechjournal.com/Jwk_dlxyzk/EN/Y2012/V11/I6/46
〔1〕宋国祥.现代眼科影像学〔M〕.天津:天津科学技术出版社,2002:349-354. 〔2〕徐乃江,朱惠敏,杨丽.实用眼整形美容手术学〔M〕.郑州:郑州大学出版社,2003:318-319. 〔3〕宋维贤,孙华.羟基磷灰石复合体在眼眶骨折整复中的应用〔J〕.眼外伤职业眼病杂志,2003,25(1):18-19. 〔4〕郦惠燕,陈艳虹,崔红光.高密度多孔聚乙烯片填充治疗爆裂性眼眶骨折〔J〕.浙江大学学报:医学版,2008,37 (2):208-211. 〔5〕田立君.爆裂性眼眶骨折36例治疗方法分析〔J〕.眼外伤职业眼病杂志,2010,32(10):797-799. 〔6〕Kwon J H,Moon J H,Kwon M S,et al. The differences of blowout fracture of the inferior orbital wall between children and adults〔J〕. Arch Otolaryngol Head Neck Surg,2005,131(8):723-727. 〔7〕李琳玲,姜发纲,周霞,等.Medpor在眼眶爆裂性骨折整复中的应用〔J〕.国际眼科杂志,2008,8(2):412-413. 〔8〕罗金超,归来,张智勇. 眶周创伤的早期修复〔J〕. 中华整形外科杂志,2008,24(5):362-364. 〔9〕沈勤,林后维,范先群. 眼眶骨折修复术对复视和眼球运动障碍的改善〔J〕.上海交通大学学报,2008,8(6):681- 684. 〔10〕祝灵春,孙立,赵宏茹.经鼻爆裂性眶骨折眼球内陷的晚期整复〔J〕.眼外伤职业眼病杂志,2005,27(2):121. 〔11〕Sclafani A.Clinical and histologic behavior of exposed porous highdensity polyethylene implants〔J〕. Plast Reconstr surg.1997,99(1):41. 〔12〕Fernandes R,Fattahi T,Steinberg B,et al.Endoscopic repair of isolated orbital floor fracture with implant placement〔J〕. Oral Maxillofac Surg,2007,65(8):1449-1453. 〔13〕刘秀明,魏锐利,蔡秀平.Medpor植入治疗眼眶爆裂性骨折36例分析〔J〕.中国误诊学杂志,2009,9(3):676-677. 〔14〕范先群.眼整形外科学〔M〕.北京:北京科学技术出版社,2009:610. 〔15〕肖利华.眼眶手术学及图解〔M〕.郑州:河南科学技术出版社,2000:177. 〔16〕李冬梅.眼部整形美容手术图谱〔M〕.北京:人民卫生出版社,2008:522. 〔17〕朱奇.眼眶爆裂性骨折的研究现状及进展〔J〕.武警医学,2008,19(5):467-470. 〔18〕刘心,桑延智,仲明,等.眼眶爆裂性骨折的手术治疗〔J〕.国际眼科杂志,2009,9(7):1386-1387.