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題 名 | Experience in Using of Transconjunctival Incision for Orbital Fractures Repair: Thirty-Nine Cases=以「經結膜切口」修補眼眶部骨折:三十九個病例之經驗 |
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作 者 | 邱泰豐; 黃文賢; 周聰鐸; 陳錫根; 陳紹良; 王先震; 陳天牧; | 書刊名 | 醫學研究 |
卷 期 | 21:3 2001.06[民90.06] |
頁 次 | 頁193-200 |
分類號 | 416.703 |
關鍵詞 | 經結膜切口; 外上眼皮成形術; 眼眶部骨折; Transconjunctival incision; Lateral upper blepharoplasty; Orbital fracture; |
語 文 | 英文(English) |
中文摘要 | 資料統計從1998年七月至2000年八月,病人在本院整形外科接受以「經結膜切口」不做「外眥切開術」的開刀方法來重建眼眶部各種不同骨折。 期間共有39位病人,39個眼眶部接受手術,年齡從十七至七十三歲,平均年齡三十二歲,男性二十一名、女性十八名。眼眶部骨折一但位在顴額或眼眶外壁區域,經結膜切口的方法往往需要做「外眥切開術」,方可提供足夠的空間以利手術進行,「外眥切開術」術後外眥韌帶的縫合並不容易,因此我們改用「外上眼皮成形術」的方法即可達到同樣目的。 在使用「經結膜切口」加上「外上眼皮成形術」兩年的經驗裡,無術中併發症發生,術後病人追蹤四至二十四個月,平均十二點五個月。除了一例因拉扯厲害造成兩星期的暫時性結膜下瘀血,及眼眶周圍水腫外,並沒有嚴重併發症發生我們將此方法的好處作一詳細描述,並認為它對眼眶部骨折的重建不但能提供充足的手術空間,較少術後併發症,且得到滿意的術後美觀效果。 |
英文摘要 | We used the transconjunctival incisions for variety of orbital fractures on thirty-nine orbital explorations in 39 patients from July 1998 through August 2000. The fractures were: 14 blowout fractures of the orbital floor, 4 Le fort II, 13 orbito-zygomatic fractures and 8 isolated fractures of the infraorbital rim. The patients' ages ranged from 17 to 73 (mean 32) years old. There were 21 males and 18 females. We used the lateral upper blepharoplasty incision to replace the lateral canthotomy for extensive exposure of the zygomaticofrontal region or lateral orbital wall. No complications occurred during surgery in all cases. Fracture was corrected for reduction and rigid fixation in all cases. Patients were for 4 to 24 (mean 12.5) months. We have had only one case of patient with transient subconjunctival ecchymosis and periorbital edema. There were no permanent ectropion found in any patient. Adequate access with satisfactory aesthetic results in obtained. In our experience of using the transconjunctival approach, this incision is effective, reliable, and minimal postoperative problems for approach orbital fractures repair. The details, advantage of the transconjunctival incision is presented. |
本系統中英文摘要資訊取自各篇刊載內容。