Management of orbital fractures: challenges and solutions.
Management of orbital fractures: challenges and solutions.
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DOI：
10.2147/opth.s80463
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Bonilla-Velez J
中科院分区：
文献类型：
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作者：
Boyette JR;Pemberton JD;Bonilla-Velez J
许多专家遇到并治疗眼眶骨折。这些骨折的治疗往往具有挑战性，因为它们可能会对视力产生影响。急性治疗包括对伴随的眼部损伤进行彻底的临床检查和处理。然后，必须分析每个患者的临床和放射学表现，以确定是否需要手术干预。这些损伤可能会导致畸形和视力障碍，虽然手术旨在预防这些问题，但它也可能造成这些问题。因此，手术入路和植入物的选择应慎重考虑。准确的解剖重建需要完整的骨折边缘评估和适当的种植体轮廓和定位。植入物成形和术中重建评估的新技术的实施将有望改善患者的预后。
Many specialists encounter and treat orbital fractures. The management of these fractures is often challenging due to the impact that they can have on vision. Acute treatment involves a thorough clinical examination and management of concomitant ocular injuries. The clinical and radiographic findings for each individual patient must then be analyzed for the need for surgical intervention. Deformity and vision impairment can occur from these injuries, and while surgery is intended to prevent these problems, it can also create them. Therefore, surgical approach and implant selection should be carefully considered. Accurate anatomic reconstruction requires complete assessment of fracture margins and proper implant contouring and positioning. The implementation of new technologies for implant shaping and intraoperative assessment of reconstruction will hopefully lead to improved patient outcomes.