자가귀연골이식을 이용한 아래눈꺼풀뒤당김 교정술
Correction of Lower Lid Retraction Using Autologous Ear Cartilage Graft
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목적: 여러 원인에 의한 아래눈꺼풀뒤당김에 대하여 자가귀연골이식을 통한 교정수술의 결과를 알아보고자 하였다. 대상과 방법: 2002년 3월부터 2010년 7월까지 아래눈꺼풀당김기와 결막을 아래눈꺼풀판에서 분리하여 후전시키고 그 사이에 자가귀연 골을 이식하는 방법의 아래눈꺼풀뒤당김 교정술을 받은 50명(54안) 환자들의 임상 양상, 수술 결과 및 합병증을 후향적 의무기록 분석 을 통해 알아보았다. 결과: 아래눈꺼풀뒤당김의 원인으로 무안구증 또는 소안구증에 의한 의안 착용이 22안으로 가장 많았다. 수술 후 평균 추적관찰 기간은 16.6개월(1-98개월)이었고, 54안 중 52안에서 아래눈꺼풀뒤당김이 성공적으로 교정되었다. 수술 후 합병증으로 각막상피미란 2안, 결 막상피미란 1안, 육아종이 2안에서 발생하였으며 각막 및 결막 상피미란은 보존적 치료 후 호전되었고 육아종은 절제술을 시행하였다. 결론: 귀연골을 이용한 아래눈꺼풀뒤당김 교정술은 합병증이 비교적 적으면서도 아래눈꺼풀뒤당김의 원인에 관계없이 교정효과가 뛰 어난 수술방법이다.
Abstract
Purpose: To evaluate the surgical results of lower eyelid retraction using autologous ear cartilage graft. Methods: Fifty patients (54 eyes) who received surgical correction of lower eyelid retraction by lower eyelid retractors and conjunctiva recession from the tarsal plate with autologous ear cartilage grafts from March 2002 to July 2010 were evaluated. Medical records were reviewed and clinical characteristics, surgical outcomes, and postoperative complications were analyzed retrospectively. Results: The use of prosthesis due to anophthalmos or microphthalmos (22 eyes) was the most common cause of lower eyelid retraction. The mean postoperative follow-up period was 16.6 months (1-98 months). Lower eyelid retraction was successfully corrected in 52 of 54 eyes. Postoperatively, 2 cases of corneal erosions, 1 case of conjunctival erosion, and 2 pyogenic granulomas developed. Corneal and conjunctival erosions resolved with conservative management and granulation tissues were removed by excision. Conclusions: Correction of lower eyelid retraction using autologous ear cartilage graft is an excellent surgical procedure with low complication rates for eyelid retraction of various etiologies.
참고문헌 (13)
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