누구접근법을 이용한 단독안와내벽골절정복술

• 영문명: Reconstruction of Isolated Medial Orbital Wall Fracture Using a Transcaruncular Approach
• 발행기관: 대한안과학회
• 저자명: 배민철 곽미선,Min Cheol Bae, MD, Mi Sun Kwak, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number1, 1~7쪽, 전체 7쪽
• 주제분류: 인문학 > 역사학
• 파일형태: PDF
• 발행일자: 2009.01.15

영문 초록

Purpose: We present our results in the reconstruction of medial orbital wall fractures using a transcaruncular approach. Methods: Forty-five patients with isolated medial orbital wall fractures underwent reconstruction by transcaruncular approach in our clinic between May 2003 and October 2007, and were followed up for 6 months or more. Results: Thirty-three males and 12 females were included in this study, with a mean age of 34.9 years. The most common indication for reconstruction were large sized fractures more than 50%. Operations were performed at a mean 11.9 days after trauma. Among 18 patients who had diplopia before the operation, 16 (89%) patients had symptom relief or improvement, and in the 2 patients where diplopia persisted, it did not in primary and down gaze and offered no difficulties in daily activities. Among 34 patients who had enophthalmos before the operation, most (n=30) of the patients had minimal enophthalmos not more than 2 mm, 4 patients had enophthalmos that exceeded 2 mm. Conclusions: Transcaruncular approach in reconstruction of isolated medial orbital wall fracture shows more satisfying functional and cosmetic results and can be preferred to isolated medial orbital wall fracture.

키워드

Diplopia, Enophthalmos, Medial wall fracture, Transcaruncular approach