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有机玻璃在眶成形术中较常用,而钛钢片则很少应用。我们用多孔颅骨成形钛钢片修复1例眶下壁,使脱臼于上颌窦的眼球复位,现报告如下。患者徐××男25岁司机住院号141268。因车祸致头面部多处骨折,于89年9月8日急诊入院。入院后,经抗休克等治疗,病情平稳后,进行眼部检查。右眼视力1.0,左眼光感。右眼眼压1.938Kpa,左眼1.938KPa。左眼上、下睑皮下瘀血、肿胀。上睑上举困难。眶下壁粉碎性骨折,眼球陷没,下1/2掉入上颌窦。眼球活动受限,但未见明显破裂。于89年9月10日在全麻下行右眶下壁成形术。手术时,距左下睑缘3mm
Plexiglass is more commonly used in orbital surgery, while titanium steel is rarely used. We use porous cranial titanium sheet repair 1 cases of inferior orbital wall, the dislocation of the maxillary sinus in the eye reset, are as follows. Xu × × male 25-year-old driver hospital number 141268. Due to accidental head and face multiple fractures, on September 8, 89 emergency admission. After admission, the anti-shock and other treatment, the disease was stable, the eye examination. Right eye vision 1.0, light perception of the left eye. Right eye intraocular pressure 1.938Kpa, left eye 1.938KPa. Left eye, lower eyelid subcutaneous bleeding, swelling. Difficult to lift the upper eyelid. Orbital wall comminuted fracture, ocular retraction, fall into the maxillary sinus. Eye activity is limited, but no obvious rupture. On September 10, 89 underwent right orbital wall angioplasty under general anesthesia. Surgery, from the lower left eyelid 3mm