안와 상벽 골절과 광대뼈 골절의 임상 양상과 치료 및 동반된 안과적 진단
Clinical Manifestations, Management, and Ophthalmologic Complications of Orbital Roof Fractures and Zygoma Fractures
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
목적: 안와 상벽 골절과 광대뼈 골절의 임상 양상과 치료 및 동반된 안과적 진단에 대해 알아보고자 하였다. 대상과 방법: 2009년 6월부터 2010년 6월까지 본원에 내원하여 안와 상벽 골절과 광대뼈 골절을 진단받은 환자 119명의 의무기록을후향적으로 조사하여 연령, 성별, 수상 원인, 골절의 양상과 신경학적 손상 및 동반 안면 골절 등의 성형외과적, 신경외과적, 그리고동반된 안과적 진단과 치료에 대해 알아보고자 하였다. 결과: 안와 상벽 골절 61명 환자의 평균 연령은 33.0세로 원인은 교통사고가 가장 많았고(36.1%), 동반된 안과적 진단은 홍채모양체염(7안), 안구파열(2안) 순이었다. 광대뼈 골절 58명 환자의 평균 연령은 36.6세로 원인은 교통사고가 가장 많았고(32.8%), 이 중 51명이수술적 치료를 받았다(87.9%). 동반된 안과적 진단은 홍채모양체염(6안), 망막 진탕(4안) 순이었다. 결론: 안과 의사에게 익숙하지 않은 안와 상벽 골절과 광대뼈 골절의 임상양상 및 치료 지침을 알아봄으로써 이에 동반된 안과적 진단및 치료에 도움이 될 것으로 생각한다.
Abstract
Purpose: To investigate the clinical manifestations, management, and ophthalmologic complications of orbital roof fractures and zygoma fractures. Methods: A retrospective survey of 119 patients who visited Korea University Medical Center from June 2009 to June 2010was performed. The sex, age, causes, fracture characteristics, neurologic injury, ocular injury, and combined facial bone fractures of patients who were diagnosed with orbital roof fracture and zygoma fracture were statistically analyzed. Results: The mean age of patients with orbital roof fracture was 33.0 years old. The most common cause of orbital roof fracture was traffic accident (36.1%) with 6 patients receiveing surgical treatement (9.8%). Among the ophthalmologic diagnoses of the patients with orbital roof fracture, traumatic iridocyclitis was the most common (7 eyes) followed by eyeball rupture (2 eyes). The mean age of patients with zygoma fracture was 36.6 years old. The most common cause of zygoma fracture was traffic accident (32.8%), with 51 patients receiving surgical treatement (87.9%). Among the ophthalmologic diagnoses of the patients with zygoma fracture, traumatic iridocyclitis was the most common (6 eyes), followed by commotio retina (4 eyes). Conclusions: The present study regarding clinical characteristics and treatment of orbital roof fracture and zygoma fracture is helpful for ophthalmologists regarding the treatment of accompanying ophthalmologic complications.
참고문헌 (12)
- Fulcher TP, "Orbital roof fractures: management of ophthalmic complications", Ophthal Plast Reconstr Surg, 19, pp.359~363 (2003)
- Rinna C, "Bilateral orbital roof fracture", J Craniofac Surg, 20, pp.737~742 (2009)
- Piotrowski WP, "Surgical techniques in orbital roof fractures: early treatment and results", J Craniomaxillofac Surg, 23, pp.6~11 (1995)
- Guly CM, "Ocular injuries in patients with major trauma", Emerg Med J, 23, pp.915~917 (2006)
- Haug RH, "Demographics and treatment options for orbital roof fractures", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 93, pp.238~246 (2002)
- Obuekwe O, "Etiology and pattern of zygomatic complex fractures: a retrospective study", J Natl Med Assoc, 97, pp.992~996 (2005)
- Haug RH, "Management of the trochlea of the superior oblique muscle in the repair of orbital roof trauma", J Oral Maxillofac Surg, 58, pp.602~606 (2000)
- Trivellato PF, "A retrospective study of zygomatico-orbital complex and", or zygomatic arch fractures over a 71-month period, 2011, pp.27, 135~142
- Calderoni DR, "Seven-year institutional experience in the surgical treatment of orbito- zygomatic fractures", J Craniomaxillofac Surg, 39, pp.593~599 (2011)
- Bae YC, "A clinical study of fracture of the zygomatic bone", J Korean Soc Plast Reconstr Surg, 24, pp.86~99 (1997)
- Evans BG, "MOC-PSSM CME article: Zygomatic fractures", Plast Reconstr Surg, 121(1 Suppl), pp.1~11 (2008)
- Kelley P, "Evaluation and treatment of zygomatic fractures", Plast Reconstr Surg, 120(7 Suppl 2), pp.5~15 (2007)