眼窩壁骨折治療に関する2・3の工夫

概要

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With regard to treatment of two cases of orbital wall fracture with fracture of the orbital rim:(1) A trans-eyelid approach to fractures of the orbital floor is better than the trans-maxillary approach, particularly for treatment of orbital rim fracture and/or bone graft to the defect of the orbital floor.(2) It is not necessary to remove mucosa of maxillary antrum, and an adequate dose of antibiotics should be given, when there has not been severe sinusitis before the trauma.(3) Pieces of the fractured anterior wall of the antrum are made into a bony plate by tying with nylon thread.This plate is then placed over the defect of the orbital floor to support the orbital contents.(4) We place a balloon catheter in the maxillary antrum through a naso-antral window and expand it to support the orbital floor and stop bleeding from the antrum.
耳鼻咽喉科臨床学会の論文