안와골절의 진단과 치료

• 영문명: Diagnosis and Management of Orbital Wall Fracture
• 발행기관: 대한검안학회
• 저자명: 김주현(Joohyun Kim) 박진환(Jinhwan Park) 백세현(Sehyun Baek)
• 간행물 정보: 『Annals of optometry and contact lens』Vol.15 No.4, 125~131쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2016.12.30

영문 초록

Blunt trauma to the orbit commonly results in fracture of the medial wall and the floor of the orbit due to the thin nature of the bones. Fracture of the orbital floor may arise from the force caused by posterior globe displacement during blunt trauma and increased orbital pressure (hydraulic theory) and/or from direct trauma to the inferior orbital rim causing the floor to buckle (rim buckling theory). Although computed tomography is the most effective tool for orbital wall fracture diagnosis, it is important for the correct diagnosis that the symptoms and signs such as nausea, vomiting and extraocular movement should be evaluated because trapdoor type of fracture is common in children. Early surgical correction within 2 weeks may prefer because of easier reposition of herniated orbital contents. Dissection to the posterior margin of the fracture and reconstruction of the orbital floor slope are the most important surgical factors to prevent residual enophthalmos and scarring with recurrent diplopia. Demonstration of slight exophthalmos of the corrected side by about 1-2 mm at the end of the operation is also necessary because absolute deficiency and a temporary exophthalmic effect due to surgical trauma have to be considered.

목차

서 론

안와골절의 발생 기전

안와골절 환자의 평가

안와골절의 임상양상

안와골절의 진단

안와골절의 비수술적 치료

안와골절 수술의 적응증

안와골절 수술 시기

안와골절 수술 방법과 술 후 관리

결 론

REFERENCES

키워드

Enophthalmos Orbital computed tomography Orbital wall fracture