CAJ | 학술논문

目的探讨钛网植入治疗眼眶内下壁爆裂性骨折后眼球内陷的效果.方法回顾性分析11例(11只眼)眼眶内下壁爆裂性骨折行钛网植入手术的临床资料.术前眼球内陷4.0 ～6.5mm,伴双眼复视者2例,眼球下移位者4例.手术入路为下睑缘切口联合鼻侧皮肤切口,分别于骨膜下植入钛网覆盖眶内壁及下壁骨折缺损区.结果术后随访7～11个月,眼球内陷均矫正至1 mm以内,2例复视完全消失,4例眼球移位均完全矫正.术后无感染、植人物脱出、排斥或移位等并发症.结论单纯应用钛网治疗眼眶内下壁爆裂性骨折引起的眼球内陷安全有效,重建眶腔特殊解剖形态、完全还纳脱出的眶内容物是治疗的关键.
목적 탐토태망식입치료안광내하벽폭렬성골절후안구내함적효과.방법 회고성분석11례(11지안)안광내하벽폭렬성골절행태망식입수술적림상자료.술전안구내함4.0 ～6.5mm,반쌍안복시자2례,안구하이위자4례.수술입로위하검연절구연합비측피부절구,분별우골막하식입태망복개광내벽급하벽골절결손구.결과 술후수방7～11개월,안구내함균교정지1 mm이내,2례복시완전소실,4례안구이위균완전교정.술후무감염、식인물탈출、배척혹이위등병발증.결론 단순응용태망치료안광내하벽폭렬성골절인기적안구내함안전유효,중건광강특수해부형태、완전환납탈출적광내용물시치료적관건.
Objective To evaluate the effect of titanium mesh implantation for enophthalmos secondary to blow-out fractures of orbital medial and inferior walls.Methods The surgical effects of 11 cases (11 eyes) of blow-out fractures of orbital medial and inferior walls who received titanium mesh implantation for orbital reconstruction were analyzed retrospectively.Preoperatively,all cases showed 4.0 to 6.5mm enophthalmos among whom 2 cases had diplopia and 4 cases had apparent vertical globe dystopia.For all the cases,inferior subciliary approach combined with nasal lateral approach were performed,and 2 titanium mesh plates were implanted under the periosteum to cover the area of the inferior and medial orbital wall fracture respectively in order to reconstruct the normal orbital cavity.Results Postoperatively,after a followed up period of 7-11 months,the enophthalmos of all cases was corrected to less than l mm successfully,the preoperative diplopia disappeared in all the 2 cases,the vertical globe dystopia of 4 cases disappeared totally,and no complication such as infection,extrusion,rejection or migration of the implants occurred.Conclusion Titanium mesh plates implantation only is safe and effective to correct the enophthalmos secondary to blow-out fractures of orbital medial and inferior walls,and the key is reconstruction of the special orbital shape and complete returning soft tissue into orbital cavity.