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Rhinology：眼眶骨折修复—鼻内修复方法研究进展！

2017-09-14 cuiguizhong MedSci原创

眼眶骨折修复鼻内上颌窦壁
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德国雷根斯堡大学耳鼻咽喉科的Kuhnel T近日在Rhinology发表了他们团队近期的一项工作，他们提出了在鼻内进行眼眶骨折修复的内窥镜手术方法。

德国雷根斯堡大学耳鼻咽喉科的Kuhnel T近日在Rhinology发表了他们团队近期的一项工作，他们提出了在鼻内进行眼眶骨折修复的内窥镜手术方法。

眼窝骨折修复中，下眼睑与眼眶底部相距太近，为了避免相关的危险因素，也为了改善手术的直观性，他们提出了通过内侧上颌窦壁，在鼻内进行眼眶骨折复位和骨接合手术的内窥镜手术方法。

内窥镜手术是一种鼻内导管手术的技术，他们对2013年7月至2016年6月期间在雷根斯堡大学耳鼻咽喉科进行了这项外科手术的17例患者进行了回顾性分析。他们发现所有病例都成功修复了不涉及眼眶内缘的骨折，并校正了眼球内陷和复视。在这篇文章中，他们描述的鼻内方法允许修复眼眶底骨折，而不会对眼睑造成伤害。手术直观性，特别是在上腭与眼眶交界处，似乎比其他方法更容易实现。其缺点是手术所需的时间有所增加，并因为空间有限，在鼻内的手术操作难度增加。虽然存在上述缺点，但由于伤口愈合较快，不发生眼睛肿胀，术后并发症的风险很小，所以这项手术具有良好应用前景，对眼科临床医生和患者都是一个不错的选择。

原文出处：

Kuhnel， T.， et al.， Orbital floor fracture repair： the endonasal approach. Rhinology， 2017.

本文系梅斯医学（MedSci）原创编译整理，转载需授权！

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    2017-09-16 方舒

    学习

    0

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    2017-09-16 mashirong

    #研究进展#

    0

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    2017-09-16 12498e87m44暂无昵称

    #眼眶#

    0

  4. 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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=244046, encodeId=bbaa244046c6, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Thu Sep 14 22:20:09 CST 2017, time=2017-09-14, status=1, ipAttribution=)]
    2017-09-15 189****7206

    学习了谢谢分享

    0

  5. 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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=244046, encodeId=bbaa244046c6, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Thu Sep 14 22:20:09 CST 2017, time=2017-09-14, status=1, ipAttribution=)]
    2017-09-15 doctorJiangchao

    谢谢分享.

    0

  6. 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    2017-09-15 半夏微凉

    学习了谢谢分享

    0

  7. 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content=学习啦!谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLK1wzJZRTON4gxYUibhUyOypBwMibC4R7SsppicGhz5Ogoy0VVq4CWnqaD2Moeib8RWxI5lOiaVmnxpan/0, createdBy=c53f1730331, createdName=tanxingdoctor, createdTime=Fri Sep 15 00:28:46 CST 2017, time=2017-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=244058, encodeId=645a2440580d, content=学习了.涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Thu Sep 14 22:47:04 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=244046, encodeId=bbaa244046c6, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Thu Sep 14 22:20:09 CST 2017, time=2017-09-14, status=1, ipAttribution=)]
    2017-09-15 飛歌

    厉害了我的哥

    0

  8. 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    2017-09-15 tanxingdoctor

    学习啦!谢谢分享!

    0

  9. 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    2017-09-14 1ddf0692m34(暂无匿称)

    学习了.涨知识

    0

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likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Fri Sep 15 06:46:11 CST 2017, time=2017-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=244115, encodeId=5f53244115ce, content=厉害了我的哥, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Fri Sep 15 01:02:33 CST 2017, time=2017-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=244109, encodeId=05d12441093f, content=学习啦!谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLK1wzJZRTON4gxYUibhUyOypBwMibC4R7SsppicGhz5Ogoy0VVq4CWnqaD2Moeib8RWxI5lOiaVmnxpan/0, createdBy=c53f1730331, createdName=tanxingdoctor, createdTime=Fri Sep 15 00:28:46 CST 2017, time=2017-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=244058, encodeId=645a2440580d, content=学习了.涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Thu Sep 14 22:47:04 CST 2017, time=2017-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=244046, encodeId=bbaa244046c6, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Thu Sep 14 22:20:09 CST 2017, time=2017-09-14, status=1, ipAttribution=)]
    2017-09-14 中医痴

    不错的.学习了.谢谢分享!

    0

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