Reconstruction of Medial Orbital Wall Using Autologous Perpendicular Plate of Ethmoid

被引:2
作者
Zhang, Shiyong [1 ]
Xu, Zhihua [1 ,2 ]
Zhang, Xiaoqing [1 ]
Wang, Xinhua [1 ]
Ye, Rui [1 ]
机构
[1] Anhui Med Univ, Dept Otolaryngol, South Dist Affiliated Hosp 3, Hefei, Anhui, Peoples R China
[2] Anhui Med Univ, Dept Otolaryngol, South Dist Affiliated Hosp 3, 3200 Changsha Rd, Hefei 230601, Anhui, Peoples R China
关键词
Medial orbital wall; nasal endoscopy; perpendicular plate of ethmoid; reconstruction surgery; OPTIC-NERVE DECOMPRESSION; ENDONASAL; FRACTURE; RESECTION;
D O I
10.1097/SCS.0000000000009619
中图分类号
R61 [外科手术学];
学科分类号
摘要
The aim of this study is to investigate the feasibility of perpendicular plate of ethmoid as material for the reconstruction of medial orbital wall. The main outcome measurement was preoperative and postoperative orbital volume. The authors performed a study including 17 patients who have isolated medial orbital wall fracture (blow-out fracture). All the patients were fixed the defect using autologous perpendicular plate of ethmoid under endonasal approach. The authors compared the preoperative and postoperative orbital volume difference (unaffected orbit, affected orbit) of all the patients, and observed the improvement of diplopia or ocular motility disorders after operation. All 17 medial orbital wall reconstruction surgeries were successful with no severe postoperative ophthalmic complications. Statistically significant differences were found between the preoperative and postoperative orbital tissue volumes for the affected orbit. There was no statistically significant difference found between the tissue volume of the contralateral unaffected orbit and the affected orbit after reconstruction. And postoperative computed tomography showed the implant is in place and there is no medial rectus incarceration. Autologous perpendicular plate of ethmoid proved to be safe and effective in the reconstruction of medial orbital wall under endonasal approach with cost-effectivence, low complication rate, high biocompatibility, and minimally invasion.
引用
收藏
页码:2510 / 2513
页数:4
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