Transantral surgical approach for fractures of the lower wall of the orbit

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详细

An original method of treating patients with fractures of the lower wall of the orbit with access through the maxillary sinus and the use of an F- or H-shaped titanium miniplate as a fixation device is presented. A clinical case of the use of transantral access in a patient with a fracture of the lower wall of the orbit is presented.

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作者简介

G. Rybalchenko

Ilyinskaya Hospital

编辑信件的主要联系方式.
Email: gleb-ryb@yandex.ru

Candidate of Medical Sciences

俄罗斯联邦, Glukhovo Village, Moscow Region

参考

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2. Fig. 1. Computed tomography of the skull in sagittal projection: the distance between the posterior part of the inferior wall of the eye socket and the optic nerve in adults averages 10 mm

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3. Fig. 2. Patient L. before treatment: enophthalmos on the right side

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4. Fig. 3. Computed tomography of the skull of patient L. before treatment: a – fracture of the right condyle of the mandible with displacement, multifocal fracture of the lower wall of the right orbital cavity with displacement of the fragments into the maxillary sinus, fragmentary fracture of the mandibular margin and posterior wall of the maxillary sinus; б – multifocal fracture of the lower wall of the orbital cavity, mandibular margin, posterior and external walls of the maxillary sinus

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5. Fig. 4. Patient L. after treatment: enophthalmos corrected

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6. Fig. 5. Computed tomography of the skull of patient L. years after treatment: a – the right mandibular condyle is fixed with two titanium plates in the correct anatomical position, the fragments of the inferior wall of the orbital cavity are placed in the correct anatomical position and fixed with a titanium mesh implant, the volumes of the right maxillary sinus and orbital cavity are restored; б – fragments of the lower wall of the eye socket, the lower glabellar margin, the posterior and external walls of the maxillary sinus are repositioned and fixed with a transantral mesh implant, the posterior stem of the implant is fixed with a screw to the wing process of the main bone

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