经口内上颌窦进路摘除眶尖区金属异物（Removal of metallic foreign bodies in the orbital apex area by intraoral maxillary sinus approach）.docVIP

经口内上颌窦进路摘除眶尖区金属异物（Removal of metallic foreign bodies in the orbital apex area by intraoral maxillary sinus approach） Removal of metallic foreign bodies in the orbital apex area by intraoral maxillary sinus approach Update Date: 2010-12-16, Yang Maojin, Kuang Mingcai, Ye Wei, Li Li, Cao Chuan Removal of foreign bodies in the orbital apex area is very difficult. Anterior orbital exploration is difficult to achieve by anterior deep orbital exploration. According to Kroleins orbital incision, foreign bodies can be removed directly. But there are surgical trauma, need for skin incision and so on. Many colleagues are cautious and conservative in this regard. In order to investigate the concealed and convenient operation methods, our department carried out the first attempt to remove metal foreign bodies in the orbital apex area by intraoral approach in October 1985. Later, 4 cases were completed successively, and they were all successful. It is hereby reported as follows. clinical data 1. general situation: from October 1985 to May 1997, 5 cases of metal foreign bodies in orbital apex were detained. There were 4 males and 1 females. The youngest was 76 days, the oldest was 38 years old, with an average age of 15.2. The foreign bodies were lead bullets (3 cases), iron sand (1 cases) and shotgun pellets (1 cases). They were wounded by steam rifles, gunpowder guns and shotguns. Foreign body retention in the shortest time, 2 days, the longest 21 days, an average of 10.5 days. 3 cases were fixed by X ray film, 2 cases were CT location. Foreign bodies were removed by intraoral approach via maxillary sinus. 2. foreign body positioning: (1) X-ray radiographic positioning: the method requires two shots Hucheng angle, a posterior anterior (or anteroposterior), a position. The orientation must be correct, and the lateral jaw is required to overlap on both sides of the film. In order to avoid head deviation, it is better to take a picture under the control of the head locator, so tha