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Updated: Jun 4, 2025

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Three-Dimensional Reconstruction of Orbital Fractures
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同时的创伤性黄斑孔和轨道骨折
Jonnah Kristina Teope1, Mayari Ito1, Jose Miguel Ambat1
1Department of Oculoplastic, Orbital and Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Japan.
概括
创伤性黄斑洞 (TMH) 和轨道骨折的发生率很少,为0.4%. 轨道骨折可以防止重的创伤,棒球伤害对这种联合伤害的风险更高.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
- 放射学 放射学是一门学科.
背景情况:
- 轨道骨折是常见的伤害.
- 创伤性黄斑孔 (TMH) 可能是由于眼创伤造成的.
- 很少报告TMH和轨道骨折的同时发生.
研究的目的:
- 报告5例同时发生的创伤性黄斑孔 (TMH) 和轨道骨折.
- 为了确定这种联合伤害的发生率.
- 讨论轨道骨折在重创伤中的潜在保护作用.
主要方法:
- 带有轨道骨折的患者的回顾性观察研究 (2013年5月至2023年12月).
- 轴心和冠状轨道CT扫描 (骨和软组织窗口) 的分析.
- 包括所有患者的光学连贯断层扫描 (OCT) 图像.
主要成果:
- 在1,152名患者中发现了5例 (0.4%) 同时发生的TMH和轨道骨折.
- 所有的伤害都是棒球/软球创伤造成的.
- TMH阶段从1b到4不等,与各种轨道骨折位置 (中间壁,地板或两者兼而有之) 相关.
结论:
- 同时发生TMH和轨道骨折的发生率很低 (0.4%).
- 轨道骨折可能会在重冲击中对严重的眼睛创伤产生保护作用.
- 棒球和软球的影响被确定为增加这种双重伤害风险的特定机制.
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