뒤쪽까지 연장된 거대 안와하벽골절에서 다공성 폴리에틸렌 통로 삽입물을 이용한 안와골절 정복술

• 영문명: Repair of Large Posterior Inferior Wall Fracture Using Medpor? Channel Sheet Implant
• 발행기관: 대한안과학회
• 저자명: 윤진숙 정승아 이상렬,Jin Sook Yoon, M.D., Seung Ah Chung, M.D., Sang Yeul Lee, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number8, 1217~1224쪽, 전체 8쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2006.08.31

영문 초록

Purpose: To evaluate the effectiveness of a Medpor? (porous polyethylene) channel sheet in large posterior and inferior orbital wall fracture repair. Methods: We retrospectively analyzed the clinical features and postoperative outcomes of 52 patients who had undergone orbital wall reconstruction with a Medpor? (porous polyethylene) channel sheet between February 1999 and December 2005. Results: Among 52 patients, 44 were men and 8 were women, with average age of 30.8 years and average follow-up period of 6.3 months. The surgery was performed on average at15 days after injury in 44 patients, except for in 8 reoperated cases. Miniplate or microplate fixation on the orbital rim with a Medpor? channel was required in all 52 patients for large posterior inferior wall fracture. Preoperatively, 43 patients had symptomatic diplopia, which resolved completely in 32 patients and decreased in 11 following surgery. No patients had induced diplopia or exacerbation of preoperative diplopia, except the primary gaze of 2 patients with hypertropia remained, requiring strabismus correction. The mean difference in preoperative enophthalmos between both eyes was 2.8 mm, which improved to 0.8 mm at the last follow-up. There were no instances of orbital infection, implant exposure or migration, or visual loss during follow-up. Conclusions: Medpor? channel implant provided optimal reconstruction of large inferior orbital wall fracture with posterior defect that lacked structural support.

키워드

Large inferior orbital wall fracture, Medpor? (porous polyethylene) channel sheet