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.