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纯轨道地板吹入骨折:一个极其罕见的病例
Kosuke Akiyama1, Youhei Ouchi1, Atsushi Hosokawa2
1Otolaryngology - Head and Neck Surgery, Kagawa University, Miki-cho, JPN.
Cureus
|March 5, 2024
概括
一种罕见的轨道地板吹入骨折 (BIF) 导致了持续的双眼视. 使用导航和内镜切除骨片的手术成功地解决了症状,恢复了正常的眼睛运动.
科学领域:
- 眼科医生 眼科 眼科
- 神经外科 神经外科
- 创伤外科 手术 创伤外科
背景情况:
- 轨道地板骨折可能是头部创伤的结果.
- 吹入骨折 (BIF) 比吹出骨折更为罕见.
- 纯轨道底BIF非常罕见,仅有有限的公布病例.
研究的目的:
- 报告一种罕见的纯轨道底吹入骨折病例.
- 描述这种罕见疾病的成功手术治疗和结果.
主要方法:
- 通过计算机断层扫描 (CT) 和赫斯图表证实了诊断.
- 手术干预涉及通过皮肤去除骨碎片,并提供导航和内镜辅助.
主要成果:
- 患者呈现出双眼视和有限的垂直眼睛运动,由于纯轨道底部BIF.
- 手术干预导致症状完全消失.
- 6个月后的手术后CT和Hess检查证实了有利的结果.
结论:
- 纯轨道底BIF是一种罕见的实体,需要及时诊断和管理.
- 微创手术技术,包括导航和内镜,可以有效地治疗这种情况.
- 成功的手术干预可以恢复眼睛的运动性并缓解症状.
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