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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Lim, Nam Kyu (Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Dankook University College of Medicine) Kang, Dong Hee (Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Dankook University College of Medicine) Oh, Sang Ah (Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Dankook University College of Medicine) Gu, Ja Hea (Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Dankook University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제41권 제6호
발행연도
2014.1
수록면
686 - 692 (7page)

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Background Restoring orbital volume in large blowout fractures is still a technically challenge to the orbital surgeon. In this study, we restored the orbital wall using the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses, and we compared the surgical outcome to that of a conventional transorbital method. Methods A retrospective review of all patients with pure unilateral blowout fractures between March 2007 and March 2013 was conducted. 150 patients were classified into two groups according to the surgical method: conventional transorbital method (group A, 75 patients, control group), and the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses (group B, 75 patients, experimental group). Each group was subdivided depending on fracture location: group I (inferior wall), group IM (inferomedial wall), and group M (medial wall). The surgical results were assessed by the Hertel scale and a comparison of preoperative and postoperative orbital volume ratio (OVR) values. Results In the volumetric analysis, the OVR decreased more by the experimental groups than each corresponding control groups (P<0.05). Upon ophthalmic examination, neither the differences among the groups in the perioperative Hertel scale nor the preoperative and postoperative Hertel scales were statistically significant (P>0.05). Conclusions Our surgical results suggest that orbital volume was more effectively restored by the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses than the conventional method, regardless of the type of fracture.
#Orbital fractures #Enophthalmos #Paranasal sinuses

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참고문헌 (8)

참고문헌 신청
Rodriguez ED / 2013 / Plastic surgery: volume 3 / Elsevier Saunders :53~57 google schola Kakibuchi M / 2004 / Combination of transconjunctival and endonasal-transantral approach in the repair of blowout fractures involving the orbital floor / Br J Plast Surg 57:37~44 google schola Farwell DG / 2006 / Endoscopic repair of orbital floor fractures / Facial Plast Surg Clin North Am 14:11~16 google schola Shi W / 2012 / Combination of transorbital and endoscopic transnasal approaches to repair orbital medial wall and floor fractures / J Craniofac Surg 23:71~74 google schola Cho RI / 2013 / Combined orbital floor and medial wall fractures involving the inferomedial strut: repair technique and case series using preshaped porous polyethylene/titanium implants / Craniomaxillofac Trauma Reconstr 6:161~170 google schola

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