Burst fracture eyeball introversion surgery
Eyes invaginated. Bursting fracture eyeball retraction surgery precautions: There are different types of burst fractures, the severity is also different. Therefore, the surgeon must check and adjust the surgical method at any time. 2. Burst fracture mainly refers to fractures of the infraorbital wall and inner orbital wall, rarely involving the orbital wall. Burst fractures do not have to be treated surgically, and some may not be operated. When the rectus muscle is incarcerated, do not pull it out hard. Instead, enlarge the fracture suture to allow the incarcerated muscle to loosen and remove it. 3. It was found that the eyeball was fixed during the operation, the traction test failed, and the X-ray film should be fractured if it is fractured. 4. During the operation, a soft blunt meningeal hook should be used to separate the incision, and it should be relaxed intermittently to avoid damage to the eyeball. 5. The orbital septum should be protected during the operation to avoid incision to avoid orbital fat overflow. 6. Do not arbitrarily enlarge the surgical area, causing intraocular hemorrhage. When separating posterior orbital fractures and implanting grafts, do not crush the blood vessels and optic nerves in the posterior orbit, causing massive orbital bleeding and optic nerve damage, or even blindness. 7. When the gauze strip is implanted in the maxillary sinus cavity, it should not be too tight. It should be removed regularly to prevent suppuration. There should be no dead space between the implant and the orbital floor to prevent bacterial growth. 8. Orbital margin fractures should be neatly arranged for suture positioning between bones. For the infraorbital nerve injury, some people have suggested not to perform infraorbital wall exploration, so as not to affect the eye muscles and produce diplopia. Some people favor exploration, because if it is done carefully, it will not aggravate the injury; it can remove some potential fractures that can affect the infraorbital nerve.
