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[One stage surgical repair for complex cranio-orbital injury]
1Department of Neurosurgery, Third Clinical College, China Medical University, Shenyang 110021.
Objective:
To approach clinical effect of early stage surgery on complex cranio-orbital injury.
Methods:
Surgical procedures included removal of intracranial hematoma, contused and necrotic brain tissues, correction of cranio-orbital deformity, and repair of dure mater.
Results:
Early evaluation was completed in 6 weeks, and late evaluation was made in 6 months after surgery according to the scale of Jennett and Bond's plastic surgical outcome and Glasgow outcome scale (GOS). Six weeks after surgery, GOS grade I was observed in 6 patients and GOS grade II in 3 patients. Excellent scale of Jennett and Bond was seen in 4 patients and good scale in 3 patients. Cerebrospinal leakage was effectively obstructed in 5 patients.
Conclusions:
Early stage repair for complex cranio-orbital injury may be conducive to improving neural function and decreasing intracranial infection.