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陈旧性外伤性颌面部多发性骨折伴发畸形及眼球移位在临床上罕见,治疗较困难。我科于1978年收治一例,经上颌窦途径修复畸形,并用硅橡胶海绵填充使眼球复位,取得较好效果,现初步报道如下。患者女性,20岁,杂技团演员。1978年3月20日入院。主诉5个月前于自行车车技表演时不慎失手跌倒,左面部撞在自行车扶手上。当时左鼻出血,鼻背部肿,左眼内角处有皮肤裂伤,无昏迷及恶心、呕吐等,在当地医院急诊处理,予以“鼻骨复位及皮肤裂伤缝合”。3个月后,自觉左鼻仍阻塞,左面部肿胀伴麻木感。左眼流泪,左眼球有牵拉及发酸感。左眼向上、下活动时双眼出现复视。全身检查无特殊。本科检查:左面部上颌窦前壁及鼻背左侧均较健侧隆起约0.3～0.7厘米,质硬,可扪及左鼻骨及上颌骨额突处呈不均匀的骨质增生,左眼球位置下移约0.4厘米。左眶下缘内2/3段明显内陷,近内眦部扪及
Old traumatic maxillofacial multiple fractures associated with deformity and eyeball shift in the clinical rare, more difficult to treat. I was admitted to a case in 1978, the maxillary sinus approach to repair deformities, and filled with silicone rubber sponge reset the eyes, and achieved good results, are initially reported as follows. Patient female, 20 years old, acrobatic troupe actor. March 20, 1978 admission. Chief complaint five months ago in a bicycle car accidentally stumbled accidentally left hand, hit the left handrail on the bicycle armrest. Left nose bleed at that time, nostril swollen, left eye inner corner of the skin laceration, no coma and nausea, vomiting, etc., in the local hospital emergency treatment, be “nasal bone reduction and skin laceration.” 3 months later, conscious left nasal obstruction, left facial swelling with numbness. Left eye tears, left eye stretch and sour feeling. Left eye up and down when the eyes appear diplopia. No special body check. Undergraduate examination: the left front of the left maxillary sinus and nasal back than the healthy side of the protuberance uplift about 0.3 to 0.7 cm, hard, palpable and the amount of left nasal bone and maxillary bone uneven hyperplasia, the left eye position Down about 0.4 cm. Left / orbital margin 2/3 significantly retracted, near the Ministry of intra-palpable palpable