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目的:探讨面中部脱套入路治疗鼻眶筛区骨折的疗效。方法:选取佛山中医院口腔医疗中心鼻眶筛骨折患者11例,均为单侧一类骨折,其中眶区骨折6例,鼻区骨折5例。所有患者采用面中部脱套入路行骨折复位内固定术或隆鼻术。结果:11例患者术后随访3～12个月,伤口均一期愈合,所有患者均有鼻腔结痂和出血现象,创伤性溢泪1例,眶下区麻木4例,鼻部歪斜1例。结论:面中部脱套入路治疗鼻眶筛区骨折操作安全,术野暴露充分,面部不留瘢痕,无鼻前庭狭窄等并发症发生,值得临床推广应用。
Objective: To investigate the curative effect of middle facial debridement for the treatment of nasion-orbital fracture. Methods: Eleven patients with naso-orbital ethmoid fracture were selected from Department of Stomatology, Foshan Hospital of Traditional Chinese Medicine, all of them were unilateral unilateral fracture, including 6 cases of orbital fracture and 5 cases of nasal fracture. All patients with middle face debridement fracture reduction and internal fixation or rhinoplasty. Results: All the 11 patients were followed up for 3 to 12 months. All the wounds healed in one time. All patients had nasal scab and bleeding, 1 case of traumatic overflowing tears, 4 cases of suborbital numbness and 1 case of skewed nose. Conclusion: It is worth to popularize the application of middle facial debridement in the treatment of nasal orbital orbital fracture, which is safe for operation, full of operative field exposure, no scar on the face and no complications of nasal vestibular stenosis.