METHOD OF SURGICAL TREATMENT OF POST-TRAUMATIC ENOPHTHALMOS

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to maxillofacial surgery and ophthalmology. For surgical treatment of post-traumatic enophthalmos, an implant of biological origin is used, which is placed at the lower wall of the orbit. Recover lost in the orbit of the material of retrobulbar fiber, for which use the fatty body of the patient's cheek (FBC) with access to the transitional fold of the upper jaw in the projection of large and small molar teeth to dissect the mucosa of the cheek closest to the operated eye. Isolate FBC to its temporal process. Form a fat flap FBC, separating it from the tissues of the cheek, without losing connection with the temporal process of FBC, take it to the ligature. Form a blunt instrument tunnel on the back of the cheek-alveolar ridge, the upper jawbone to the lower orbital fissure. After that, the fat flap is passed through the ligature through the formed tunnel to the lower orbital gap and through it, with the help of the ligature, is taken out into the orbit. After that, surgical wounds are layer-by-layer closed.;EFFECT: method excludes disturbances of blood circulation and trophic graft during the postoperative period and minimizes the risk of its rejection.;1 cl, 2 ex, 3 dwg