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NR 4-6/2005
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Własne doświadczenia
w leczeniu chorych ze złamaniem rozprężającym oczodołu
Own experience in the
treatment of patients with orbital blow-out fracture
Grażyna Wyszyńska-Pawelec, Jan Zapała,
Anna Kubatko-Zielińska1
Z Katedry i Kliniki Chirurgii Szczękowo-Twarzowej Collegium
Medicum Uniwersytetu Jagiellońskiego w Krakowie
Kierownik: dr hab. n. med. Jan Zapała
1Z Pracowni Patofizjologii Widzenia Katedry
Okulistyki Collegium Medicum Uniwersytetu Jagiellońskiego w
Krakowie
Kierownik: dr hab. n. med. Anna Kubatko-Zielińska |
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| Summary: |
The aim of the paper is to
present long-term experience in multidisciplinary
treatment of patients with orbital blow-out fracture (OBF).
Material and methods: from 1971 to 2003, 344 patients,
including 148 children, with OBF were treated.
Diagnostics comprised of ophthalmologic examination,
including instrumental methods and radiology. Treatment
comprised of primary reconstruction of the orbit,
orthoptic rehabilitation and in cases of failure eye
muscle surgery or prismatic correction. The aim of
primary reconstruction of the orbit was to restore full
passive motility of the eyeball and reconstruction of
orbital bones. Results: recovery was obtained in 40.1%
of patients, marked improvement in 29.4% and improvement
in 27.3% of patients. Conclusions: Surgical treatment of
patients with OBF is indicated in patients with
persistent diplopia concomitant with restricted passive
eyeball motility. |
| Słowa kluczowe: |
złamanie rozprężające
oczodołu, diplopia, rekonstrukcja oczodołu. |
| Key words: |
blow-out fracture of the
orbit, diplopia, orbital reconstruction. |
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