Effect of early surgical treatment for orbital pure blow-out fractures of orbital wall
10.3760/cma.j.issn.1671-0290.2014.04.005
- VernacularTitle:单纯型眶壁爆裂性骨折早期手术治疗的效果
- Author:
Youyi LI
;
Guoping WU
- Publication Type:Journal Article
- Keywords:
Orbital fractures;
Reconstructive surgical procedures;
Three-dimensional CT
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2014;20(4):257-260
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the therapeutic methods and effects of orbital blow-out fractures.Methods Thirty-three cases (36 eyes) of orbital pure blow-out fracture were treated by surgery from January 2007 to July 2013.The features of orbital fractures were determined with three-dimensional computed tomography scans.The area of fractures was exposed through sub-ciliary incision,the herniated orbital contents were released and reduced to the orbital cavity.The fractured orbital walls were repaired precisely with autologous bone or Medpor.Results After 6 to 12 months followup,there were no serious complications such as infection of bone graft,exposure of implants in all 33 cases,and all the cases got satisfactory appearance of eyelids and orbit,of which the diplopia disappeared and eyeball movement function recovered normally.The protrution of eyeball in 29 cases were symmetrical,but 4 cases presented mild enophthalmos at affected side.Conclusions The orbital volume enlarges and orbital content herniating into paranasal sinuses is caused by orbital blow-out fracture.Implanting autogenous grafts and Medpor to restore orbital volume are proved to be effective.Early CT examination is an effective method for the diagnosis.In order to avoid complications,the orbital blow-out fracture should be subjected to surgical treatment as soon as possible.
