Traumatic features and surgical treatment of fronto-orbital injury
10.3760/cma.j.issn.1671-8925.2011.08.024
- VernacularTitle:额眶损伤的伤情特点及手术处理
- Author:
Zhong-Yi ZHOU
1
;
Yi-Quan KE
;
Zi-Cai YANG
;
Ping-Yu LI
;
Xi-Chun GAO
;
Ai-Sheng ZENG
;
Zhi-Jun YIN
Author Information
1. 广东医学院附属厚街医院
- Keywords:
Frontal fracture;
Orbital fracture;
Surgery
- From:
Chinese Journal of Neuromedicine
2011;10(8):851-853
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the traumatic features of fronto-orbital injury and evaluate its outcome with primary surgical treatment. Methods The clinical data and surgical operative procedures of 26 patients with fronto-orbital injury were analyzed retrospectively.Results The traumatic characteristics of the 26 patients with fronto-orbital injuries are as follows: mild disturbance of consciousness, severe fronto-orbital deformities, and high frequency of cerebrospinal fluid leakage and cranial nerve injuries. Follow-up of 6-12 months was performed; according to Glasgow outcome scale (GOS), 19 patients had good results, 6 moderate disability, and 1 severe disability; according to scale of Jennett and Bond's plastic surgical outcome, among the 17 patients received correction of fronto-orbital deformities, excellent scores were noted in 12 patients and good in 5. Cerebrospinal leakage was effectively obstructed in 7 patients. Visual acuity improved obviously in 2 patients after decompression of optic canal.Conclusion For patients with fronto-orbital injuries, the primary surgical operative procedures include evacuation of intracranial hematoma and contused brain tissue, correction of fronto-orbital deformities, decompression of optic canal, repair of CSF leak, which may be conductive to improving the neural function and decreasing the intracranial infection.
