影响轨道地板重建结果的因素
Sony Prakkattumannathu Varghese1, Jonathan Victor2, Sharad Ramdas3
1Department of Plastic and Reconstructive Surgery, Khawlah Hospital, Muscat, Oman.
概括
对于轨道底骨折的早期手术干预,理想情况下在七天内,可显著改善双眼视患者的结果. 然而,多次面部骨折与手术后结果较差有关.
科学领域:
- 眼科医生 眼科 眼科
- 整形外科 整形外科 整形外科
- 创伤外科 手术 创伤外科
背景情况:
- 轨道地板骨折在面部创伤中很常见.
- 手术结果取决于诸如干预时间和骨折程度等因素.
研究的目的:
- 确定轨道床重建手术的最佳时间.
- 研究面部骨折对手术结果的影响.
主要方法:
- 追溯和前性队列研究.
- 在2011年1月至2017年7月期间为轨道底骨折进行手术的患者的分析.
- 对收集的数据进行统计分析.
主要成果:
- 早期干预 (7天前) 与手术后双眼视的改善相关.
- 患有5个或更多面部骨折的患者表现出更高的持续性双眼视,轨道下麻木和眼.
- 手术前的双眼视明显改善,随着及时的手术.
结论:
- 建议进行早期手术 (在7天内),以获得更好的轨道底骨折修复结果,特别是双眼视.
- 多次并发的面部骨折 (≥5) 与术后效果较差有关,包括持续的眼,双眼视和麻醉.
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