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目的探讨治疗眼眶骨纤维异常增殖症(FD)的手术方法。方法以头皮冠状切口为基本径路根据眶骨病变波及范围辅以相应的齿龈沟上切口径路,鼻根鼻侧“ㄏ”“ㄟ”切口筛窦切除径路。结果眶面部畸形得以矫正,局部功能障碍改善。结论头皮冠状切口径路治疗眶FD切口隐蔽,视野清楚,辅以“ㄏ”“ㄟ”筛窦切除径路有利于视神经管减压,辅以齿龈沟上切口有利于处理上颔骨下部病变。
Objective To investigate the surgical treatment of orbital fibrous dysplasia (FD). Methods The scalp coronal incision as the basic approach according to the extent of orbital bone lesions associated with the corresponding gingival sulcus incision path, nasal rhinosinal “ㄏ” “ㄟ” incision ethmoid sinus approach. Results Orbital facial deformity was corrected, local dysfunction improved. Conclusions The treatment of orbital foramen oesophageal foramina incision is concealed by the coronal incision of the scalp and the visual field is clear. The path of ethmoid sinus resection supplemented by “ㄏ” and “ㄟ” ethmoidal sinus is helpful for decompression of the optic canal, and the incision of the gingival sulcus is helpful for the treatment of the lesion of the supraspinatus.