컴퓨터단층촬영을 이용한 비중격 만곡증 환자의 안와벽 결손 유병률에 대한 연구

우주영; 구수권; 고태경; 지창록; 박근형

doi:10.35420/jcohns.2021.32.2.118

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자료유형: 학술저널

저자정보: 우주영 (부산성모병원 이비인후과) 구수권 (부산성모병원 이비인후과) 고태경 (부산성모병원 이비인후과) 지창록 (부산성모병원 이비인후과) 박근형 (부산성모병원 이비인후과)

저널정보: 대한이비인후과학회 부산,울산,경남 지부회 임상이비인후과 임상이비인후과 제32권 제2호

발행연도: 2021.9

수록면: 118 - 124 (7page)

DOI: 10.35420/jcohns.2021.32.2.118

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Background and Objectives: The orbit contains important structures such as the eyeball, optic nerve, and extra- ocular muscles. A defect the orbital wall is a clinically important anatomical variation because it can cause serious complications during nasal surgery. The authors investigated the incidence of orbital defects in patients of chronic sinusitis with nasal septal deviation and found out whether there is a relationship between chronic sinusitis and orbital defects to help the surgical treatment of these patients. Materials and Methods: The computed tomography (CT) and medical records of 247 patients with chronic sinusitis with septal deviation (study group) and 470 patients with septal deviation only (control group) were analyzed retrospectively. The average age of patients was 34.05 years for males and 33.67 years for females. Results: The incidence of orbital defects was statistically higher with 22 out of 247 subjects in the study group (8.9%) than 22 out of 470 subjects in the control group (4.7%)(Chi-square verification result, significance level 0.05). In both groups, the direction and degree of nasal septal deviation did not significantly affect the incidence of orbital defects, and medial orbital defects were the most common in both groups (study group, 90.9%, 20/22, control group, 86.4%, 19/22). Conclusions: About 9% of patients with chronic sinusitis with septal deviation showed defects of the orbital wall, which is easy to be damaged in sinus surgery and can lead to permanent complications. We should prevent such complications through evaluating CT and detailed medical history of the patient before surgery.

#비중격만곡 #부비동염 #안와 #컴퓨터단층촬 영. #Sinusitis #Nasal septum #Orbit #Tomography #X-ray computed.

참고문헌 (19)

참고문헌 신청

Wu H / 2016 / Long-term therapeutic outcome of ophthalmic complications following endoscopic sinus surgery / Medicine 95(38):e4896

Bleier BS / 2010 / Prevention and management of medial rectus injury / Otolaryngol Clin North Am 43(4):801~807

Shere JL / 2004 / An analysis of 3599 midfacial and 1141 orbital blowout fractures among 4426 United States Army Soldiers, 1980–2000 / Otolaryngol Head Neck Surg 130(2):164~170

Stankiewicz JA / 2011 / Complications in endoscopic sinus surgery for chronic rhinosinusitis : a 25-year experience / Laryngoscope 121(12):2684~2701

Chou TW / 2016 / Multiple analyses of factors related to complications in endoscopic sinus surgery / J Chin Med Assoc 79(2):88~92

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