中国眼耳鼻喉科杂志2024,Vol.24Issue(3) :173-176,181.DOI:10.14166/j.issn.1671-2420.2024.03.003

Ⅲ型鼻眶筛骨折开放式手术客观疗效评估12例

Objective evaluation of therapeutic effect of open surgery in 12 patients with type Ⅲ naso-orbital-ethmoid fractures

于金超 何爱娟 叶信海
中国眼耳鼻喉科杂志2024,Vol.24Issue(3) :173-176,181.DOI:10.14166/j.issn.1671-2420.2024.03.003

Ⅲ型鼻眶筛骨折开放式手术客观疗效评估12例

Objective evaluation of therapeutic effect of open surgery in 12 patients with type Ⅲ naso-orbital-ethmoid fractures

于金超 1何爱娟 1叶信海1
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作者信息

  • 1. 复旦大学附属眼耳鼻喉科医院眼耳鼻整形外科 上海 200031
  • 折叠

摘要

目的 分析螺旋CT扫描三维重建测量客观评估Ⅲ型鼻眶筛骨折手术临床疗效的价值.方法 选取 2018 年 4 月—2022 年 12 月就诊于我院眼耳鼻整形外科的鼻眶筛骨折患者共计 12 例,利用Mimics Medica软件系统进行螺旋CT三维重建,测量术前和术后的内眦间距、鼻根高度、鼻高、鼻长、鼻宽和鼻偏斜度,评估眼鼻外形的改善效果.结果 鼻根高度、鼻偏斜度术后有明显改善,其余测量指标术前和术后无明显差异.结论 Mimic软件系统螺旋CT三维重建和测量可以客观评价鼻眶筛骨折开放式手术改善鼻外形的临床疗效.

Abstract

Objective To analyze the value of iterative reconstruction measurement with spiral CT scanning in evaluating the curative effect of type Ⅲ naso-orbito-ethmoid fractures objectively.Methods From April 2018 to December 2022,a total of 12 patients with naso-orbital-ethmoid-fracture were selected from the Department of Facial Plastic and Reconstructive Surgery,Eye&ENT Hospital of Fudan University.By using the Mimics Medica software system,spiral CT iterative reconstruction was performed to measure the inner canthal distance,nasal root height,nasal height,nasal length,nasal width,nasal deviation and orbital volume before and after the surgery,and to evaluate the improvement of eyes and nose in appearance.Results There were significant improvement in nasal root height and nasal deviation after the surgery.The other indicators showed no significant difference before and after the surgery.Conclusions Mimic software system spiral CT iterative reconstruction and measurement could be used to objectively evaluate the clinical efficacy of open surgery for naso-orbital-ethmoid fracture and to improve the shape of eyes and nose.

关键词

鼻眶筛骨折/开放手术/三维重建

Key words

Naso-orbital-ethmoid fractures/Open surgery/Three-dimensional reconstruction

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出版年

2024
中国眼耳鼻喉科杂志
复旦大学附属眼耳鼻喉科医院

中国眼耳鼻喉科杂志

CSTPCD
影响因子:0.555
ISSN:1671-2420
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