[One stage surgical repair for complex cranio-orbital injury].
OBJECTIVE
To approach clinical effect of early stage surgery on complex cranio-orbital injury.


METHODS
Surgical procedures included removal of intracranial hematoma, contused and necrotic brain tissues, correction of cranio-orbital deformity, and repair of dure mater.


RESULTS
Early evaluation was completed in 6 weeks, and late evaluation was made in 6 months after surgery according to the scale of Jennett and Bond's plastic surgical outcome and Glasgow outcome scale (GOS). Six weeks after surgery, GOS grade I was observed in 6 patients and GOS grade II in 3 patients. Excellent scale of Jennett and Bond was seen in 4 patients and good scale in 3 patients. Cerebrospinal leakage was effectively obstructed in 5 patients.


CONCLUSIONS
Early stage repair for complex cranio-orbital injury may be conducive to improving neural function and decreasing intracranial infection.
Sun
H
H
Department of Neurosurgery, Third Clinical College, China Medical University, Shenyang 110021.
Lu
T
T
Li
H
H
Wang
W
W
D000328:Adult; D006259:Craniocerebral Trauma / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures; D009915:Orbit / Q000293:injuries* / Q000601:surgery; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome