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首页> 外文期刊>American Orthoptic Journal >Orbital Fractures: Indications and Surgical Techniques
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Orbital Fractures: Indications and Surgical Techniques

机译：眼眶骨折：适应症和手术技术

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摘要

Orbital fractures are common sequelae of facial trauma. They may result in diplopia, enophthalmos, infraorbital hypoesthesia, and facial asymmetry. The nature and extent of these injuries depend on a number of different factors including: severity, force, vector of the trauma, and age of the patient. The purpose of this paper is to discuss the evaluation of orbital fractures and their treatment.The management of the orbital fractures requires recognition of the frac-ture(s) and accurate diagnosis of both the functional and structural changes caused by the trauma. The signs and symptoms of damage to the orbital structures and to the oculomotor system and the indications for and the timing of surgical repair are discussed. The timing of the surgical intervention depends on the type of fracture, its size, the amount of entrapment of orbital tissue and the age of the patient.The surgical approach is described and the specific surgical technique for each type of fracture is covered.Whatever the means used, the ultimate success of surgical intervention for orbital fractures depends upon identification of those fractures that need surgical repair, release of entrapment, restoration of the integrity and contour of the orbital walls, and an accurate clinical evaluation of the replacement volume of the orbit.
机译：眼眶骨折是面部创伤的常见后遗症。它们可能导致复视，眼球突出，眶下感觉不足和面部不对称。这些伤害的性质和程度取决于许多不同的因素，包括：严重性，用力，外伤的媒介以及患者的年龄。本文的目的是讨论眼眶骨折的评估及其治疗方法。眼眶骨折的治疗需要识别骨折并准确诊断由创伤引起的功能和结构改变。讨论了眼眶结构和动眼系统受损的迹象和症状，以及手术修复的适应症和时机。手术干预的时机取决于骨折的类型，大小，眼眶组织的包埋量和患者的年龄。描述了手术方法，并涵盖了每种骨折类型的具体手术技术。所采用的手段，眼眶骨折的手术干预的最终成功取决于对那些需要进行手术修复，释放夹带，恢复眼眶壁的完整性和轮廓的骨折的鉴定，以及对眼眶置换量的准确临床评估。

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