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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Hur, Su Won (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) Kim, Sung Eun (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) Chung, Kyu Jin (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) Lee, Jun Ho (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) Kim, Tae Gon (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) Kim, Yong-Ha (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제42권 제4호
발행연도
2015.1
수록면
424 - 430 (7page)

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Background Reconstruction of combined orbital floor and medial wall fractures with a comminuted inferomedial strut (IMS) is challenging and requires careful practice. We present our surgical strategy and postoperative outcomes. Methods We divided 74 patients who underwent the reconstruction of the orbital floor and medial wall concomitantly into a comminuted IMS group (41 patients) and non-comminuted IMS group (33 patients). In the comminuted IMS group, we first reconstructed the floor stably and then the medial wall by using separate implant pieces. In the non-comminuted IMS group, we reconstructed the floor and the medial wall with a single large implant. Results In the follow-up of 6 to 65 months, most patients with diplopia improved in the first-week except one, who eventually improved at 1 year. All patients with an EOM limitation improved during the first month of follow-up. Enophthalmos (displacement, 2 mm) was observed in two patients. The orbit volume measured on the CT scans was statistically significantly restored in both groups. No complications related to the surgery were observed. Conclusions We recommend the reconstruction of orbit walls in the comminuted IMS group by using the following surgical strategy: usage of multiple pieces of rigid implants instead of one large implant, sequential repair first of the floor and then of the medial wall, and a focus on the reconstruction of key areas. Our strategy of step-by-step reconstruction has the benefits of easy repair, less surgical trauma, and minimal stress to the surgeon.
#Orbital fractures #Fractures, comminuted #Facial bones

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참고문헌 (12)

참고문헌 신청
Kim JW / 2002 / The inferomedial orbital strut: an anatomic and radiographic study / Ophthal Plast Reconstr Surg 18:355~364 google schola Wright ED / 1999 / Endoscopic orbital decompression with preservation of an inferomedial bony strut: minimization of postoperative diplopia / J Otolaryngol 28:252~256 google schola Burm JS / 1999 / Pure orbital blowout fracture: new concepts and importance of medial orbital blowout fracture / Plast Reconstr Surg 103:1839~1849 google schola Kim YH / 2011 / Inlay implanting technique for the correction of medial orbital wall fracture / Plast Reconstr Surg 127:321~326 google schola Su GW / 2006 / Combined inferior and medial surgical approaches and overlapping thin implants for orbital floor and medial wall fractures / Ophthal Plast Reconstr Surg 22:420~423 google schola

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