Chenzhou First People's Hospital Children's Hospital Pediatric Ophthalmology completed the first pediatric orbital fracture surgery

Shortly after the summer vacation, Xiaoqiang (pseudonym), 3, was hurriedly hugged by her mother. She came to the pediatric eye department of the Children's Hospital of the First People's Hospital of Luzhou City. When she saw the main doctor, Xiaoqiang's mother said in a hurry: "Doctor, My child was injured in his left eye, you can help me see it. "

The child's left eyelid is swollen, the skin is green, and the eyeballs are initure. The doctor quickly improves the CT examination of the orbital. The diagnosis of Xiaoqiang is a fracture of the lower orbital wall of the left eye (below).

[Display the left lower wall fracture area before surgery]

The orbital space is small, and there are important blood vessels and nerves.

Objective surgery is four types of surgery. The operation is difficult. During the operation and after surgery, vision decreases, or even loss, orbring in orblebral bleeding, permanent resolution and other complications.

Compared with adults, children's orbit can operate less space, skeletal development is immature, elastic, and after fracture, it is mostly linear and less bone defects.

However, the fracture range of the left oral wall of the child is very wide and the displacement is severe. If it is not treated in time, it will greatly affect the child's appearance, eyeball and prognosis.

Li Zheng, director of the Department of Ophthalmology of the First People's Hospital of Luzhou City, did not fear the challenges after understanding the condition of the child in detail, and decided to arrange surgery as soon as possible.

[3D printing model shows the fracture area of ​​the left orbital wall]

Considering the narrow surgical vision of the child, in order to achieve accurate reset, the 3D printing model is made before surgery and formulated a detailed surgical plan. It is decided to implant the orbital wall reconstruction for the child's absorption of the orbital floor, which does not affect the development of the child's orbital.

With the cooperation of the operating room, anesthesiology, ICU and other related departments, the pediatric ophthalmology team successfully completed the first child's orbital fracture repair+orbital wall reconstruction.

The postoperative children's left eyebrows reached anatomy reset, and the intra -eye in the eye was significantly improved. Parents and medical staff had a happy smile on their faces.

[Repair fracture of the left orbital lower orbits after surgery]

In recent years, under the leadership of the Ophthalmology Department of Luzhou First People's Hospital, under the leadership of the Director of the Section of the Section of the Department of Ophthalmology, it has paid close attention to the construction of disciplines and continued to break through in high difficulty orbital surgery. The four categories of Xiangxiang have become the benchmark of prefecture -level hospitals. In 2017, the first application of 3D printing technology in the province in the province's application in the eyebrow burst fracture was performed, achieving precise treatment of orbital fractures.

The successful development of this operation (the application of 3D printing technology combined with the reconstruction of absorbable materials), marking that the hospital's child ophthalmology department is treating complex children's eye disease and carried out a new step in the field of difficult surgery technology. example.

Recently, the pediatric ophthalmology team also visited several children with visually trauma. The cornea (sclera) was wounded, the eyeballs were damaged (anterior house blood), orbital custard jaw fractures, and surgery.

Eyes are the windows of the soul. Children are the future of the motherland. Pediatrics experts from the first People's Hospital of Luzhou City to remind parents to strengthen safety education, strengthen their awareness of prevention, and ensure that children have a safe, happy and full vacation!

Attachment: The Department of Pediatric Ophthalmology of Children's Hospital of the First People's Hospital of Luzhou City is currently undergoing routine operations: microscopic strabismus correction, upper eyelid drooping correction, eyelashes of eyelids, lacrimal gland drainage suspension, (eyelid) (eyelid) (eyelid) Oil tumor resection, various eye injuries (eyelid laburch tract injury, eye rupture injury, orbital fracture, etc.) surgery, retinal laser light condensation of premature infant retinopathy, and vitreous injection Videline retinal surgery.

(Edit Rainbow.)

Special Author of Hunan Medical Chat: Zhu Mingqiong Zhou Na, Children's Hospital of Chenzhou First People's Hospital

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