Hirurško lečenje blowout preloma poda očne duplje kod dece

Saša Z Tabaković; Ivana Ilić Dimitrijević

doi:10.2298/6331

Saša Z Tabaković Clinic of Maxillofacial Surgery, Department of Dentistry, Faculty of Medicine, University of Prishtina with temporary seat in Kosovska Mitrovica, Kosovska Mitrovica, Serbia
Ivana Ilić Dimitrijević Department of Maxillofacial Surgery, Faculty of Dentistry, University of Belgrade, Belgrade, Serbia

DOI: https://doi.org/10.2298/6331

Ključne reči: orbital fractures||, ||orbita, prelomi, diagnosis||, ||dijagnoza, child||, ||deca, ophtalmologic surgical procedures||, ||hirurgija, oftalmološka, procedure, treatment outcome||, ||lečenje, ishod,

Sažetak

Uvod. Blowout prelom poda očne duplje česta je traumatska lezija kraniofacijalnog kompleksa, međutim, retka u dečijoj populaciji, tako da predstvalja terapijski izazov. Blagovremenom dijagnozom i hirurškim lečenjem, sprečava se mogućnost nastanka funkcionalnih komplikacija. Prikaz bolesnika. U radu prikazano je lečenje osmogodišnje devojčice sa blowout prelomom poda očne duplje mesec dana posle povrede. Dominantni simptomi bili su: poremećaj motiliteta očnog bulbusa sa prisutnim strabizmom i diplopijom. Rekonstrukcija defekta poda orbite urađena je autolognim koštanim transplantatom simfizne regije mandibule. Godinu dana posle rekonstrukcije poda orbite urađena je dodatna korekcija strabizma zbog funkcionalnog poremećaja bulbomotornih mišića. Zaključak. Kasno hirurško lečenje blowout preloma poda orbite kod dece najčešče ne daje zadovoljavajuće funkcionalne rezultate. Kod najvećeg broja bolesnika, neophodna je hirurška korekcija strabizma kako bi se omogućio funkcionalno kvalitetan vid i estetski zadovoljavajući izgled.

Biografije autora

Saša Z Tabaković, Clinic of Maxillofacial Surgery, Department of Dentistry, Faculty of Medicine, University of Prishtina with temporary seat in Kosovska Mitrovica, Kosovska Mitrovica, Serbia

mr. dr Stomatologije

specijalista Maksilofacijalne hirurgije

Ivana Ilić Dimitrijević, Department of Maxillofacial Surgery, Faculty of Dentistry, University of Belgrade, Belgrade, Serbia

dr. Stmatologije

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