孤立的轨道屋顶骨折与并发的轨道隔间综合征:一个案例报告
Khalifa Al Alawi1, Sondus Al Jadeedi1, Sultan Al Shaqsi1
1Department of Plastic, Reconstructive and Craniofacial Surgery, Khoula Hospital, Muscat, Oman.
Journal of trauma and injury
|December 29, 2025
概括
孤立的轨道屋顶骨折是罕见的,但严重的面创伤. 这一案例突出了使用骨移植的成功手术重建,改善了视力和亡,尽管最初的延迟.
科学领域:
- 面外科手术 面外科手术
- 眼科医生 眼科 眼科
- 神经外科 神经外科
背景情况:
- 孤立的轨道屋顶骨折并不常见,占面部骨折的<0.2%.
- 这些伤害通常是由高能量冲击造成的,通常涉及相关的面部,眼睛和神经创伤.
- 管理需要一个多学科的团队方法.
研究的目的:
- 报告一个罕见的单独轨道屋顶骨折病例.
- 详细说明并发症,包括轨道隔间综合征,亡,视力丧失和持续撕裂.
- 为了说明手术管理和结果.
主要方法:
- 一个临床病例的介绍,涉及到一个孤立的轨道屋顶骨折.
- 手术干预包括骨折缩小和轨道屋顶重建.
- 用一个分裂的骨骨移植进行了重建.
主要成果:
- 成功减少骨折和轨道屋顶的重建.
- 手术后的proptosis和视觉功能的显著改善.
- 由于角膜撕裂,残留视力损伤持续存在.
结论:
- 孤立的轨道屋顶骨折是严重的面损伤,需要及时治疗.
- 手术修复的目的是将内和内内容物分开.
- 协调的跨学科方法对于最佳的患者结果至关重要.
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