안와 외향골절 정복술에서 치료성적 및 술후 합병증 분석

김정근; 권민상; 문정환; 권재환; 조중환

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자료유형: 학술저널

저자정보: 김정근 권민상 문정환 권재환 조중환

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제49권 제8호

발행연도: 2006.1

수록면: 802 - 806 (5page)

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연구주제

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연구배경

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연구방법

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연구결과

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Background and Objectives：There has been a recent surge in the frequency of blowout fracture operations in the Departmentof Otorhinolaryngology. Clinical symptoms and signs, operative timing and the results from fracture site and size have been researchedin this study. We conducted this study to examine the postoperative complications causing re-operation in orbital blowoutfracture repair in the last seven years. Subjects and Method：Based on patients’ clinical data, we retrospectively reviewed160 patients who had operation because of blowout fracture from January 1998 to December 2004. Fifty-two patients had orbitalfloor, 74 patients had medial orbital wall, 34 patients had a combination of orbital floor and medial orbital wall fractures. We investigateddiplopia, limitation of eye movements, and enophthalmos after the surgery, and analyzed the frequency and causes ofre-operation. The mean postoperative follow-up was 24 months. Results：We classified complications into immediate complicationswhich occurred within 24 hours, late complications which occurred between 24 hours and 2 weeks, and delayed complicationswhich occurred 2 weeks or more after operation. The symptoms of complications included diplopia, EOM limitation,cheek hypoesthesia, loss of vision, oroantral fistula, implant infection, ectropion, and etc. In case of sequelae which lasted morethan six months, the combination of orbital floor and medial orbital wall fractures was higher than other fracture types. We carriedout re-operation on 14 cases and the main cause was incomplete reduction. Conclusion：Surgeons should perform properoperation according to fracture site and type, and insert the implant after making an adequate dissection in order to reduce thefrequency of complication and re-operation. (Korean J Otolaryngol 2006;49:802-6)

#안와 외향골절·합병증. #Orbital fracture·Complication.

참고문헌 (15)

참고문헌 신청

/ 1957 / Enophthalmos and diplopia in fracture oforbital floor 9 : 265 ~ 74

/ 1967 / Orbital blowoutfractures:A ten year survey 39 : 20 ~ 36

/ 1971 / Orbital floor fracture:Long term follow-up of cases with and without surgical repairs 75 : 802 ~ 12

/ 1974 / A review of 128 patientswith orbital fracture 78 : 655 ~ 64

/ 1981 / Repair of orbital blowout fractureswith Marles mesh and Gelfilim 91 : 1881 ~ 6

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