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Orbital and optic nerve trauma

 

作者: Jurij Bilyk,  

 

期刊: Current Opinion in Ophthalmology  (OVID Available online 1993)
卷期: Volume 4, issue 5  

页码: 49-55

 

ISSN:1040-8738

 

年代: 1993

 

出版商: OVID

 

数据来源: OVID

 

摘要:

The evaluation and management of orbital trauma continues to evolve. The application of plating systems for rigid fixation of complex orbital fractures has allowed the surgeon to reapproximate the normal bony anatomy to a greater degree than was previously available with wiring. Porous implants, including hydroxy apatite and porous polyethylene, have also been used in periorbital reconstruction with success. Improved resolution and new imaging modalities have not only allowed the clinician a better view of the traumatized orbit, but have also aided in developing an understanding of the complexities of the orbital apex and optic canal region. Other issues of trauma are also well represented in this year's literature. The clinician is reminded once again that, although certain patterns of trauma are recognized, all patients without exception must be carefully evaluated for occult ocular, periorbital, neurological, or systemic injuries. The sequelae and complications of orbital trauma are also important to remember, and should be reviewed with the patient and the patient's family during the initial evaluation. Excellent reviews of orbital implant and ocular motility complications are included in this year's literature.

 

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