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오래 경과된 외상성 안구함몰의 치료

Repair of Late Post-traumatic Enophthalmos

김정근|권재환|배기범|조중환|권민상
대한이비인후과학회 (Korean Society of Otorhinolaryngology-Head and Neck Surgery)|2007.02|대한이비인후과학회지 두경부외과학 (Korean Journal of Otorhinolaryngology-Head and Neck Surgery)|제50권 제2호|pp. 128-133

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참고문헌

키워드

안구함몰·삽입물Enophthalmos· Implant.
주제분류이비인후과학

초록

Abstract

Background and Objectives：Enophthalmos is a comon sequelae of orbital fracture. Moreover, it is difficult to treat second-arily. We assessed the effect of filling up the orbital volume defect with implants on the correction of late posttraumatic enoph-thalmos. Subjects and Method：because of late postraumatic enophthalmos from July 2001 to December 2005. To corect late posttraumatic enophthalmos, porous polyethylene (Medpor), Medporenophthalmos wedge implant, absorbable mesh, bone graft particulate, rib cartilage, auricle cartilage, and maxilla anterior wall were used. Results：Among 11 patients, 6 patients were men and 5 patients were women. The average age was 33.2 years with the follow-up period of 21.8 months. Five patients had orbital floor fracture, 1 3 patients had zygoma fracture. Excellent results were obtained in all 5 patients with diplopia. The amount of enophthalmos corrected was between 1 and 5 mm (mean 2.5 mm). There was no case of visual loss, infection, migration, or exposure of implant, but we caried out re-operation on 1 case due to over reduction. Conclusion：Filling up the volume defect with proper implants is a relatively simple, safe and efficient technique in corecting late posttraumatic enophthalmos. (Korean J Otolaryngol 2007;50:128-33)

참고문헌 (22)

  1. "Treatment of enophthalmos Blow-out Fracture of the orbit mechanism and corection of internal orbital fracture Silicone sheet and bead implants to corect the deformities of inadequately healed orbital fractures Custom orbital implant in the repair of late postraumatic enophthalmos Relation-ship between the extent of fracture and the degre of enophthalmos in isolated blowout fracture of the medial orbital wall Functional indications for enophthalmos repair Porous polyethylene in the repair of late postraumatic enophthalmos Deep orbital reconstruction for cor-rection of posttraumatic enophthalmos", pp.9 423 733 254 153 595 284 1 113~111 32 9 8 9 9 92 10 21
  2. "Late posttraumatic enophthalmos: A correctable de-formity", pp.899~906 (1982)
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  4. "Curent treatment of Blow-out Fractures", pp.464~6 (1978)
  5. "The ophthalmic implications of the corection of late eno-phthalmos following severe midfacial trauma", 89, pp.47~548 (1989)
  6. "Relation-ship between the extent of fracture and the degre of enophthalmos in isolated blowout fracture of the medial orbital wall", 41(5), pp.595~599 (1998)
  7. "Functional indications for enophthalmos repair", 15(4), pp.284~292 (1999)
  8. "Porous polyethylene in the repair of late postraumatic enophthalmos", 39(1), pp.1~10 (1998)
  9. "Use of vicryl mesh implant for correcting enophthalmos and hypoophthalmos", vogli(j), pp.247~910 51 (1987)
  10. "Evolving thoughts on corecting post-traumatic enophthalmos", 101(4), pp.899~906 (1998)
  11. "Semiquantitative correction of posttraumatic enophthalmos with sliced cartilagegrafts", pp.429~37 (1986)
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  13. "Studies on enophthalmos The measurement of orbital injuries and their treatment by quantitative computed tomographt", pp.203~14 (1991)
  14. "Medporenophthalmos wedge implants in enoph-thalmos corection", 43(9), pp.1559~1569 (2002)
  15. "2D- and 3D-based measurements of orbital floor fractures from CT scans", 30(3), pp.153~159 (2002)
  16. "Intracerebral hematoma com-plicating split calvarial bone-graft harvesting" (1990)
  17. "Use of vicryl (polyglactin-910) mesh implant for correcting enophthalmos and hypoophthalmos:A study do 16 patient" (1990)
  18. "Orbital reconstruction using porous polyethylene sheets" (1994)
  19. "Semiquantitative correction of posttraumatic enophthalmos with sliced cartilage" (1989)
  20. "Correction of posttraumatic enophthalmos with sliced rib cartilage grafts" (1993)
  21. "Studies on enophthalmos: The measurement of orbital injuries and their treatment by quantitative computed tomographt" (1986)
  22. "Late proptosis following orbital floor fracture repair", 121(6), pp.649~652 (1995)

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