内镜下中鼻道联合泪前隐窝入路治疗眶壁骨折

章华; 范若皓; 谢志海; 张俊毅; 谭佳; 赵素萍; 肖健云; 蒋卫红

doi:10.13201/j.issn.1001-1781.2015.03.014

内镜下中鼻道联合泪前隐窝入路治疗眶壁骨折

- 1 中南大学湘雅医院耳鼻咽喉头颈外科(长沙, 410008);
- 2 中南大学湘雅医院眼科

详细信息

通讯作者: 蒋卫红,E-mail:jiangwh68@126.com

中图分类号: R765.9

收稿日期: 2014-05-21

Combined middle meatus and expand prelacrimal recess-maxillary ainus approach for orbital fracture treatment

- 1 Department of Otorhinolaryngology Head and Neck Surgery, Xiangya Hospital of Central South University, Changsha, 410008, China;
- 2 Department of Ophthalmology, Xiangya Hospital of Central South University

More Information

Corresponding author: JIANG Weihong, E-mail: jiangwh68@126.com

Received Date: 21 May 2014

摘要

摘要: 目的:探讨内镜下中鼻道联合泪前隐窝入路治疗眶底壁和眶内壁双壁骨折的手术方法和疗效。方法:回顾性分析我科收治的3例实施鼻内镜下中鼻道联合泪前隐窝入路治疗眶底壁和眶内壁骨折患者的临床资料,分析其疗效和手术并发症的发生情况。结果:术后随访6个月~1年,3例患者复视症状消失,眼球内陷完全矫正,无手术并发症。结论:采用内镜下中鼻道联合泪前隐窝入路治疗眶底壁和眶内壁的眼眶双壁骨折,具有组织损伤小、费用低、并发症少等优点,疗效满意,值得临床推广。
- 内镜 /
- 眶壁骨折 /
- 泪前隐窝入路
Abstract: Objective: To study surgical techniques and clinical applications of the intranasal endoscopic combined middle meatus and expand prelacrimal recess-maxillary ainus approach for orbital fracture treatment.Method: A retrospective clinical analysis of 3 patients whose admitted for orbital floor fractures or medial wall fractures operated by the intranasal endoscopic middle meatus with expand prelacrimal recess-maxillary ainus approach surgical treatment was studied,and the treatment effects and the postoperative complications were analyzed.Result: All patients had been followed up for 6 to 12 months.All cases of diplopia symptom were disappeared,enophthalmos were totally corrected, no cases of complication were found.Conclusion: Endonasal endoscopic combined middle meatus and expand prelacrimal recess-maxillary ainus approach for orbital fracture treatmenth have great and clear view.This approach with less tissue damage and high therapeutic effect makes the cost lower than other methods and complications will be decreased as well,it has a great advantage in the orbital fracture treatment.
- endoscope /
- orbital fracture /
- expand prelacrimal recess-maxillary ainus approach

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参考文献(4)

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