Eyeball atrophy with eyes - on the jaw - zygomatic fractures.docVIP

 PAGE \* MERGEFORMAT 9 Eyeball atrophy with eyes - on the jaw - zygomatic fractures Of: Tian Xu, Li, Jian-Xin Yao, Xu Tao, Shi Zhonghong [Abstract] Objective: To investigate the rupture after severe eyeball eyeball atrophy with eyes - maxilla - zygoma (orbital maxillary zygomatic OMZ fracture surgery timing and methods to solve the above reasons caused by the orbital depression, hurt the side of deformity, open by limit and so on. Method: 1 ~ 3wk after injury by modified contents ablation combined eye hydroxyapatite orbital implantation surgery, after 1 ~ 2wk line coronal scalp incision, lower eyelid bags and the mouth gingival buccal incision wound migration approach to fracture reduction, titanium screw, titanium plate fixation and high-density porous polyethylene material with trimmed plastic filled orbital wall fracture after the defect. Results: After 3mo ~ 3a follow-up, 17 cases with satisfactory results. Conclusion: The Eye atrophy with eyes - on the jaw - (or cheekbone fracture patients early after injury with modified contents ablation combined eye hydroxyapatite orbital implantation surgery, after 1 ~ 2wk no infection down implant exposure OMZ fracture repair and effective, non-displaced implant rejection, infection and complications. [Keywords:] eyeball atrophy, ocular contents removed, implants, OMZ fracture, surgical repair Abstract AIM: To discuss the operative opportunity and surgical approach on patient with eyeball atrophy and complicated fracture of orbital maxillary zygomatic (OMZ) caused by severe eyeball rupture to solve eye socked depression, face abnormality or restriction on opening of mouth on wounded side and trismus and so on caused by above reason. METHODS: One week to 3 weeks after wounded, patient was treated by improved enucleation (removal of the eye) combined with orbital hydroxyapatites ocular implantation. 1 week to 2 weeks after operation, fracture was reduced by incision of coronal, incision of lower eyelid bag a