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自1978～1989年共收治面部外伤病人5017例,对其中355例伴有鼻支架的严重塌陷,中、下眶缘的侧移位,和显著的内眦部分离畸形病例的处理作了介绍和评价。从解剖观点来看,把损伤类型归纳为:①额鼻筛和眶中部损伤而无颅底骨折;②颅底、额鼻筛和眶中部复合伤,常伴有视神经受压。在处理上,与第一种比较,第二种常伴有进入颅内的骨碎片、脑挫伤、脑水肿及视神经受压,因此,介绍了一种脑下进路方法,使损伤能够尽可能早地进行Ⅰ期处理,包括修复颅底面,尽可能减少额鼻眶
A total of 5017 patients with facial trauma were treated from 1978 to 1989, and the treatment of 355 patients with severe collapse of the nasal stent, lateral displacement of the middle and inferior orbital rim, and significant cases of partial deformity of the medial part were introduced Evaluation. From the anatomical point of view, the type of injury can be summarized as follows: frontal nasal sieve and orbital central injury without skull fracture; skull base, frontal nasal screen and orbital mid-complex injury, often accompanied by optic nerve compression. In treatment, compared with the first one, the second often accompanied by the entry of intracranial bone fragments, brain contusion, cerebral edema and optic nerve compression, therefore, introduced a method of brain approach, so that damage can be as much as possible Early stage Ⅰ treatment, including the repair of skull base, as much as possible to reduce the amount of nasal orbit