累及眼眶的面部骨折可引起严重畸形和眼功能障碍。作者对34例面部骨折累及眶底的病人施行早期修复,其中单纯眼眶粉碎性骨折13例,颧骨及严重眶底骨折9例,眶底及上颌骨、颧骨多数性骨折12例。氏强调在进行眼部、面部感觉、牙咬(牙合)及X线检查确定骨折情况后宜及时手术,手术时间不迟于72小对。本文介绍一种经眶下缘切口与上颌窦柯-陆氏术切口联合进行眶底骨折复位的万法。经眶缘切口剥开眶筋膜可直接检查眶底骨折情况,再通过颊龈切口于上颌窦腔内放一带导管的气囊,注入6～14ml造影剂,可经眶下缘切口在明视下恰当地控制所需造影剂的量,使骨折的眶底回复到正常位置,术后7～14天取出气囊。对眶底严重骨折失去支撑作用的病例,使用0.1mm厚的薄硅板作为移植衬垫,应注意硅板大小要合适,恰好放置在眶下缘后方,避免引起眼球突出。本组中有28例应用硅板接复,其中2例因硅板厚 Facial fractures involving the orbit can cause severe deformities and ocular dysfunction. The authors performed an early repair on 34 patients with orbital floor involvement, including 13 cases of comminuted orbital fracture, 9 cases of zygoma and severe orbital floor fracture, and 12 cases of orbital floor and maxillary and zygomatic fractures. 'S emphasis on eye, facial sensation, dental bite (occlusion) and X-ray examination to determine the fracture situation should be timely surgery, surgery time no later than 72 small pairs. This article describes a through the orbital margin of the incision and maxillary sinus Ke - Lu surgery incision combined orbital floor fracture reduction method. Orbital margin incision orbital fascia can directly check the orbital floor fracture, and then placed in the maxillary cavity through the buccal gingival crevicular catheter balloon, 6 ~ 14ml injection of contrast agent can be cut through the orbital margin under the vision Proper control of the amount of contrast agent required to make the fracture of the orbital back to normal position, 7 to 14 days after the removal of the balloon. The case of severe orbital floor fracture loss of support, the use of 0.1mm thick thin silicon plate as a transplant liner, should pay attention to the size of the silicon plate to be appropriate, just placed behind the infraorbital margin, to avoid causing eyeball protrusion. In this group, there are 28 cases of silicon plate recovery, of which 2 cases due to silicon plate thickness