생체 흡수성 고정판을 이용한 경상악동 안와하벽골절 정복술에서 피브린 글루의 유용성

박태정; 정태영; 김보영; 김석; 김민준; 권재환; 조규섭; 공수근

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자료유형: 학술저널

저자정보: 박태정 정태영 김보영 김석 김민준 권재환 조규섭 공수근

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제60권 제2호

발행연도: 2017.1

수록면: 69 - 75 (7page)

이용수

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연구주제

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연구배경

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연구방법

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연구결과

이 논문의 연구 히스토리 (3)

2017

생체 흡수성 고정판을 이용한 경상악동 안와하벽골절 정복술에서 피브린 글루의 유용성

박태정 , 정태영 , 김보영 외 5명 대한이비인후-두경부외과학회지 2017.01 학술저널

2016

생체 흡수성 고정판을 이용한 경상악동 안와하벽골절 정복술에서 피브린 글루의 유용성

박태정 의학과 2016.01 학위논문

2014

생체 흡수성 고정판 지지물로써 피브린 글루를 이용한안와하벽골절 정복 2예

박태정 , 배기범 , 김보영 Journal of Rhinology 2014.01 학술저널

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Background and Objectives The purpose of this study was to evaluate the advantages and limitations of using fibrin glue for securing bioresorbable panels to reconstruct the fractured orbital floor by transantral approach. Subjects and Method A retrospective study was conducted from July 2009 to July 2015 in 35 patients with pure orbital floor fractures. Nineteen patients underwent reduction surgery for inserting the bioresorbable panel and 16 patients underwent reduction surgery using fibrin glue for securing the bioresorbable panel via a transantral approach. In both groups, a chart review of preoperative and postoperative ocular symptoms, operation records, and complications was conducted. Results There was no significant difference between two groups in the demographic data of patients. Comparing the surgical outcomes between two groups, diplopia and mean discrepancy between fractured bone chip and intact orbital floor based on computed tomography scans showed much better results in the group that used bioresorbable panel secured by fibrin glue than in the bioresorbable only group. Furthermore, we carried out revision operations in six cases in the bioresorbable panel only group, where we found that the main cause of fracture to be the dislocation of bioresorbable panel. On the other hand, in the bioresorbable panel secured by the fibrin glue group, there were no reoperation and postsurgical complications. Conclusion During the course of the study, we sensed orbital floor fracture repair using bioresorbable panel secured by fibrin glue via a transantral approach as an easy and effective technique with good postoperative results, and minimal implant related complications. This novel procedure is recommended as a surgical option for the reduction of orbital floor fractures, especially in large and posterior fractures. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(2):69-75

#Blow-out fracture #Fibrin glue.

참고문헌 (25)

참고문헌 신청

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 Max

Brady SM / 2001 / The diagnosis and management of orbital blowout fractures: update 2001 / Am J Emerg Med 19 (2) : 147 ~ 154

Courtney DJ / 2000 / Isolated orbital blowout fractures: survey and review / Br J Oral Maxillofac Surg 38 (5) : 496 ~ 504

Davis BR / 1998 / Use of fibrin glue in maxillofacial surgery / J Otolaryngol 27 (2) : 107 ~ 112

Folkestad L / 1999 / Long-term sequelae after surgery for orbital floor fractures / Otolaryngol Head Neck Surg 120 (6) : 914 ~ 921

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