지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 355 - 361 (7page)
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초록· 키워드
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Background A blow-out fracture is one of the most common facial injuries in midface trauma. Orbital wall reconstruction is extremely important because it can cause various functional and aesthetic sequelae. Although many materials are available, there are no uniformly accepted guidelines regarding material selection for orbital wall reconstruction. Methods From January 2007 to August 2012, a total of 78 patients with blow-out fractures were analyzed. 36 patients received absorbable mesh plates, and 42 patients received titanium-dynamic mesh plates. Both groups were retrospectively evaluated for therapeutic efficacy and safety according to the incidence of three different complications: enophthalmos, extraocular movement impairment, and diplopia. Results For all groups (inferior wall fracture group, medial wall fractrue group, and combined inferomedial wall fracture group), there were improvements in the incidence of each complication regardless of implant types. Moreover, a significant improvement of enophthalmos occurred for both types of implants in group 1 (inferior wall fracture group). However, we found no statistically significant differences of efficacy or complication rate in every groups between both implant types. Conclusions Both types of implants showed good results without significant differences in long-term follow up, even though we expected the higher recurrent enophthalmos rate in patients with absorbable plate. In conclusion, both types seem to be equally effective and safe for orbital wall reconstruction. In particular, both implant types significantly improve the incidence of enophthalmos in cases of inferior orbital wall fractures.
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참고문헌 (25)
참고문헌 신청
Jank S / 2003 / Orbital floor recon-struction with flexible Ethisorb patches: a retrospective long-term follow-up study / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 95:16~22
Kim IT / 2001 / Normal range of exophthalmos values on orbit computerized tomography in Koreans / Ophthalmologica 215:156~162
Tanaka T / 2003 / Evaluation of coronal CT findings of rare cases of isolated medial orbital wall blow-out fractures / Dentomaxillofac Radiol 32:300~303
Caranci F / 2012 / Orbital fractures:role of imaging / Semin Ultrasound CT MR 33:385~391
Jae-Pil You / 2013 / Two-Year Follow-up on the Use of Absorbable Mesh Plates in the Treatment of Medial Orbital Wall Fractures / Archives of Plastic Surgery 40(6):728~734
Kim IT / 2001 / Normal range of exophthalmos values on orbit computerized tomography in Koreans / Ophthalmologica 215:156~162
Tanaka T / 2003 / Evaluation of coronal CT findings of rare cases of isolated medial orbital wall blow-out fractures / Dentomaxillofac Radiol 32:300~303
Caranci F / 2012 / Orbital fractures:role of imaging / Semin Ultrasound CT MR 33:385~391
Jae-Pil You / 2013 / Two-Year Follow-up on the Use of Absorbable Mesh Plates in the Treatment of Medial Orbital Wall Fractures / Archives of Plastic Surgery 40(6):728~734
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