[The use of degloving approach in the treatment of nasal-orbital-ethmoid fracture].

Autor:	Peng GG; Department of Oral and Maxillofacial Surgery, Guangzhou University of Traditional Chinese Medicine, Guangdong Province, China. guoguang828@yahoo.com.cn, Wang K, Ding XX, Wu JW, Yan X, Xie JY
Jazyk:	čínština
Zdroj:	Shanghai kou qiang yi xue = Shanghai journal of stomatology [Shanghai Kou Qiang Yi Xue] 2012 Apr; Vol. 21 (2), pp. 215-9.
Abstrakt:	Purpose: To explore the method and effect of degloving approach in the treatment of nasal-orbital-ethmoid(NOE) complex fracture surgery. Methods: Eleven cases of unilateral nasal-orbital-ethmoid fracture(NOE) were selected from Medical Center of Stomatology, Foshan Hospital of Traditional Chinese Medicine. 6 were orbital fracture, 5 were nasal fracture. All the patients were treated open reduction and rigid internal fixation or rhinoplasty via midfacial degloving approach. Results: Eleven patients were followed up for 3 to 12 months, all patients had transient nasal crusting and bleeding,1 case had traumatic epiphora, 4 cases had infraorbital temporary numbness,1 case of crooked nose. Conclusions: The degloving approach can achieve the advantages of a widely exposed field for operation,no facial scar,and no complications such as nasal vestibular stenosis. It is worthy of wide clinical application.
Databáze:	MEDLINE
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