METHOD FOR RECONSTRUCTING ORBITAL WALL IN CASE OF FRACTURE

摘要

FIELD: medicine, oral surgery, ophthalmosurgery.;SUBSTANCE: one should fulfill two vertical mucosal incisions of transitional fold being below and laterally against infraorbital foramen. Then, according to these incisions, one should form foramens in anterior wall of maxillary antrum, dissect cicatricial adhesions of soft tissues in area of restored osseous fragments at isolating periorbital fiber till its free movement together with oculomotor muscle in orbital cavity. One should forma fatty interlayer between oculomotor muscle and osseous wall, moreover, a transplant should be fixed from one side towards anterior department of the lower orbital wall, and from another side - to osseous department of retrobulbar orbital part. Then it is necessary to suture osseous fragments of orbital wall with the transplant along the whole length. The innovation enables to form correct ratio between osseous fragments of periorbital fiber and oculomotor muscle, decrease traumatism of mucous-periosteal layer in area of vestibule of mouth, decrease disorders in circulation in area of operation and, also, reconstruct normal movement of patient's eyeball.;EFFECT: higher efficiency of reconstruction.;2 dwg, 1 ex