생체 흡수성 고정판을 이용한 안와 외향 골절 정복술의 결과

한정욱; 임준식; 석상혁; 김주연; 김성원; 박태정; 권재환

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자료유형: 학술저널

저자정보: 한정욱 임준식 석상혁 김주연 김성원 박태정 권재환

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제57권 제11호

발행연도: 2014.1

수록면: 759 - 765 (7page)

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Background and Objectives The purpose of this study was to share our clinical experience on the use of bioresorbable poly L-/DL-lactide 70/30 implant to repair blow out fracture. Subjects and Method The medical records of 130 patients with orbital fractures that were treated surgically from June 2006 to February 2011 were reviewed retrospectively. Patients who had diplopia or limited extraocular motion, significant Enophthalmos (＞2 mm), or a large orbital wall fracture on a computed tomographic scan were enrolled for the study. We investigated diplopia, limited extraoacular motion, enophthalmos before and after surgery. Results The mean postoperative follow-up was 28 months. There was no evidence of sinus infection related to the implant. However, six patients showed dislocation of orbital implant in the nasal cavity. After six postoperative months, diplopia was seen in 1 (2%) patient, and significant enophthalmos was seen 2 (2%) patients. We carried out re-operation on six cases and the main cause was incomplete reduction or over reduction. Conclusion Bioresorbable poly L-/DL-lactide 70/30 implants are safe and reliable for the reduction for blowout fracture. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(11):759-65

#Orbital fracture #Orbital implant

참고문헌 (25)

참고문헌 신청

Al-Sukhun J / 2006 / A comparative study of 2 implants used to repair inferior orbital wall bony defects: autogenous bone graft versus bioresorbable poly-L/DL-Lactide [P(L/D

Al-Sukhun J / 2006 / Bioresorbable poly-L/DL-lactide (P[L/DL]LA 70/30) plates are reliable for repairing large inferior orbital wall bony defects: a pilot study / J Oral Maxi

Appling WD / 1993 / Transconjunctival approach vs subciliary skin-muscle flap approach for orbital fracture repair / Arch Otolaryngol Head Neck Surg 119 (9) : 1000 ~ 1007

Custer PL / 2003 / Complications of supramid orbital implants / Ophthal Plast Reconstr Surg 19 (1) : 62 ~ 67

Hinohira Y / 2009 / Endoscopic endonasal management of medial orbital blowout fractures / Facial Plast Surg 25 (1) : 17 ~ 22