[Intro-extro cranial approach treat serious post fronto-orbital fracture deformities].
OBJECTIVE
To explore the method of treating serious secondary fronto-orbital fracture deformities through intro-extra cranial approach.


METHODS
The fronto-orbital fracture was divided into two types according to whether there were any large scale fronto-orbital bone defects: type I: Large scale fronto-orbital bone defect; type II: Concave fronto-orbital fracture deformity without large scale bone defect. Both types were treated through intro-extra cranial approach to expose the fracture site. For type I deformity, the bone defects were repaired and reconstructed with outer table of cranial bone and artificial bone. For type II, the deformity was repaired by osteotomy, bone reposition and internal rigid fixation.


RESULTS
18 cases were treated from June 1998 to October 2000, include type I, 12 cases, and type II, 6 cases. All the patients recovered well and the post-operative appearance were greatly improved.


CONCLUSIONS
Intro-extra cranial approach can expose the fractured site better than the simple extrocranio approach, and make the operation more easily done. Combined with the technique of cranio maxillo facial surgery, the treatment can be more complete and the results can be more satisfactory.
Yu
Bing
B
Department of Cranio Maxillo Facial Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100041, China.
Gui
Lai
L
Zhang
Zhi-yong
ZY
Teng
Li
L
Zuo
Feng
F
Huang
Lu-ping
LP
Zhou
Xiao-dong
XD
Yan
Bing-zhi
BZ
Yang
Fan
F
D005593:Fracture Fixation, Internal / Q000379:methods*; D005624:Frontal Bone / Q000293:injuries* / Q000601:surgery; D006801:Humans; D009917:Orbital Fractures / Q000145:classification / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D012887:Skull Fractures / Q000145:classification / Q000601:surgery; D016896:Treatment Outcome