UNASSIGNED: A descriptive study was carried out over a period of 2 years (01. 11. 2014-31. 10. 2016). 0°-4 mm endoscopes were used for intra-operative endoscopic exploration. Regular armamentarium for management of maxillofacial trauma along with standard plating systems was used. Commercially available medical grade titanium meshes were utilised for orbital floor reconstruction.
UNASSIGNED: Fifty-seven of hundred and twelve surgically managed zygomatico-maxillary complex fractures required orbital exploration. Twenty-one of these had reconstruction of the orbital floor. Endoscopically assisted exploration was performed in 10 of the 21; trans-nasally in three cases, the Caldwell-Luc approach was used in three cases, and in another three, the existing fracture in the anterior wall of the maxilla was utilised. In addition, an endoscopic trans-nasal-sphenoidal approach was opted for to access the orbital apex to manage fractured bone fragments that were impinging on the optic nerve in one of the patients.
UNASSIGNED: Endoscopes serve as the primary tool in minimally invasive procedures. They are yet to evolve as a major role player in the maxillofacial arena. The authors conclude that endoscopes are truly beneficial as an adjunct to existing techniques. They hold much promise for the future.
■进行了为期2年的描述性研究(01。11.2014-31。10.2016)。0°-4mm内窥镜用于术中内镜探查。使用常规的医疗设备和标准的电镀系统来管理颌面部创伤。市售医疗级钛网用于轨道地板重建。
■一百一十二例手术治疗的上颌骨复杂性骨折中有57例需要进行眼眶探查。其中有21人重建了轨道地板。21例中有10例进行了内窥镜辅助探查;三例经鼻探查,考德威尔-吕克方法用于三种情况,在另外三个中,利用上颌骨前壁的现有骨折。此外,在其中一名患者中,我们选择了内窥镜经鼻-蝶窦入路,以治疗撞击视神经的骨折骨块.
■内窥镜是微创手术的主要工具。它们尚未发展成为颌面领域的主要角色。作者得出结论,内窥镜作为现有技术的辅助技术确实是有益的。他们对未来充满希望。