사골포 골점막 피판을 이용한 안와 내벽 골절의경비강 내시경적 정복술에 대한 임상적 고찰

이종원; 조형철; 강무현; 장민희; 곽희붕; 백준; 최정섭; 김성윤

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자료유형: 학술저널

저자정보: 이종원 조형철 강무현 장민희 곽희붕 백준 최정섭 김성윤

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제49권 제7호

발행연도: 2006.1

수록면: 695 - 698 (4page)

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연구배경

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Background and Objectives：Various surgical approaches have been employed to treat fractures of the medial orbital wall. Among them, the transnasal endoscopic approach provides the chance to avoid external scars and to observe the fracture site clearly. These approaches mostly require the use of grafts or splints. Authors carried out a retrospective study on the blowout fractures repaired by bulla ethmoidalis osteomucosal flap (BOMF) and compared them with the groups that were treated with silastic sheet only and with Med-pore to investigate the merits of BOMF with respect to results and complications. Subjects and Method： We reviewed 62 cases (64 sides) of medial wall fractures that were treated surgically. They were diagnosed with 3 mm facial CT scans and treated according to the authors’ indications from February 1998 to March 2004 at Namgwang Hospital, Seonam University. The surgical treatment consisted of the reconstruction of the fractures and the repair of the remaining bone defects by graft and splint, and the type of graft was selected according to the size of the defect. For minor defects, silastic sheet was used alone, whereas major defects were repaired with BOMF or Med-pore. All patients were evaluated regularly for at least six months postoperatively. Results：There were no differences in the aspects of the final treatment results of diplopia and enopthalmos. Butin the aspects of postoperative crust formation and granulation, the cases that were repaired with BOMF showed better results as well as the economic merits. In the BOMF cases, the average duration of silastic sheet stenting was 12.5 days and it could reduce the follow up period. Conclusion：BOMF demonstrated better results in the respects of duration of silastic sheet stenting, postoperative crust formation, granulation and economic cost. (Korean J Otolaryngol 2006;49:699-705)

#안와 외향 골절·사골포·피판. #Blowout fracture·Bulla ethmoidalis·Flap.

참고문헌 (20)

참고문헌 신청

/ 1988 / Medial orbital wall fracture with enophthalmos 16 : 55 ~ 9

/ 1992 / Titanium mesh in orbital wallreconstruction 21 : 140 ~ 4

/ 1994 / Orbital reconstruction withhydroxyapatite ceramic implants 28 : 193 ~ 8

/ 1995 / Medial orbital wall fractures:Classificationand clinical profile 112 : 549 ~ 556

/ 1995 / Porouspolyethylene implant for orbital wall reconstruction 1 : 42 ~ 49

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