Orbital floor repair with titanium mesh screen.
Orbital floor repair with titanium mesh screen.
复制标题
用钛网筛修复轨道地板。
DOI：
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发表时间：
1999
期刊：
影响因子：
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通讯作者：
Juliana E. Hansen
中科院分区：
文献类型：
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作者：
Douglas J. Mackenzie;B. Arora;Juliana E. Hansen
背景和目标
手术修复急性骨折的眼眶力求恢复外观，保留眼球和眼眶功能，避免眼球内陷或球下裂。修复可以通过自体骨移植、合成替代品或两者来实现。这篇文章的目的是提出一种替代的程序-使用植入物，从钛网筛切割，没有骨移植。
方法和材料
43例患者共51处眶底骨折采用钛网筛植入物修复。在3例双侧眶底骨折的患者中，使用钛网修复，术中对称性通过将骨移植物添加到一侧的钛网中得到改善。
结果和/或结论
随访35例患者42个眼眶，平均9个月。经结膜入路加外眦切开术的效果优于睫状体下入路，后者常引起一过性巩膜外露或睑外翻。1例患者在睫状体下入路后接受了眼睑外翻手术，1例患者发生了4 mm眼球内陷。常规植骨是不必要的，即使是在大面积的地板缺损。钛网植入物是眶底修复的简单可靠的选择。
BACKGROUND AND OBJECTIVES
Surgical repair of the acutely fractured orbit strives to restore appearance, preserve ocular and orbital function, and avoid enophthalmos or hypoglobus. Repair is achieved with autologous bone graft, synthetic substitutes, or both. The purpose of this article is to present an alternative procedure--use of implants, cut from a titanium mesh screen, without bone graft.
METHOD AND MATERIALS
A total of 51 orbital floor fractures in 43 patients were repaired with titanium mesh screen implants. In three patients with bilateral orbital floor fractures repaired with titanium mesh, intraoperative symmetry was improved with bone graft added to the mesh on one side.
RESULTS AND/OR CONCLUSIONS
Follow-up was available for 42 orbits in 35 patients and averaged 9 months. The transconjunctival approach with lateral canthotomy yielded better results than the subciliary approach, which often caused transient scleral show or ectropion. One patient underwent surgery for ectropion following a subciliary approach, and one patient developed a 4-mm enophthalmos. Routine bone grafting is unnecessary, even in large floor defects. Titanium mesh implants are a simple and reliable option for orbital floor repair.