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这个报告概述了从1976年至1984年的44例眶骨折外科手术修补。18例为分离性爆裂性骨折,26例为有联合性爆裂性骨折。在所有这些病例中,有2例是髂骨皮质修补、4例是以 Caldwell Luc’s 术式从下面填塞支撑眶底的方法。10个病人接受了 Sialatic 薄片(sialatic sheetings)的植入,5个病人接受了聚四氟乙烯(teflon)的植入。2例典型的分离性爆裂性骨折的病人拒绝接受治疗。21例得到耳屏软骨带软骨膜的植入,同种移植植入物常带来一些问题。自1980年以来,耳屏软骨带软骨膜自体移植的应用取代了同种移植。结果令人满意。选择植入物的标准作了讨论。示范使用耳屏软骨带软骨膜作为植人物的优点和与之相关的外科技术。
This report outlines the repair of 44 orbital fracture surgeries from 1976 to 1984. Eighteen cases were isolated burst fractures and 26 cases had combined burst fractures. In all these cases, 2 were ilium cortical repairs and 4 were methods of capping the orbital floor with Caldwell Luc’s procedure. Ten patients underwent implantation of Sialatic sheetings and five received teflon implantation. Two patients with typical isolated burst fractures refused to be treated. Twenty-one cases had traumatic cartilage with perichondrial implants, allograft implants often caused some problems. Since 1980, the application of tragus cartilage with perichondrial autograft has replaced allograft. The result is satisfactory. The criteria for choosing implants are discussed. Demonstrate the use of the tragus cartilage with perichondrium as a prosthesis and the advantages associated with surgical techniques.