title: [Early reconstruction of the periorbital injuries].
abstract: OBJECTIVE
  To study the clinical characteristics and the treatment of periorbital injuries.
  
  
  METHODS
  61 cases were treated, including 30 cases orbitozygomatic fracture, 6 cases of frontal-orbital fracture, 8 cases of naso-ethmoid-orbital fracture, 7 cases of blow -out fracture and 10 cases of complicated fracture. The patients were diagnosed after physical examination and other examination, like CT. Through bicoronal or local mini incision at the end of eyebrow, combined with subciliary incision and local wound approach, the fractured sites were exposed completely. Then the fractured fragments were repositioned and fixed rigidly. The orbital wall was reconstructed with titanium net and Medpor.
  
  
  RESULTS
  The wounds healed primarily. Good cosmetic and functional results achieved in most of the patients. 4 cases underwent second-stage ophthalmectomy. 2 patients had diplopia after operation, but improved gradually. 3 cases of blepharoptosis needed further treatment.
  
  
  CONCLUSIONS
  Early diagnosis and treatment is very important for periorbital injuries. Fracture reposition and orbital wall reconstruction should he performed at early period.
authors.affiliation: Department of Plastic and Burns, General Hospital of Military Region, Beijing 100026, China.
authors.forename: Jin-Chao
authors.initials: JC
authors.lastname: Luo
authors.forename: Lai
authors.initials: L
authors.lastname: Gui
authors.forename: Zhi-Yong
authors.initials: ZY
authors.lastname: Zhang
authors.forename: Li
authors.initials: L
authors.lastname: Teng
authors.forename: Jing-Min
authors.initials: JM
authors.lastname: Zhu
authors.forename: Tian-Zhi
authors.initials: TZ
authors.lastname: Hao
authors.forename: Zhi
authors.initials: Z
authors.lastname: Zhou
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D008875:Middle Aged; D009917:Orbital Fractures / Q000601:surgery*; D012887:Skull Fractures / Q000601:surgery; D055815:Young Adult