안와벽 골절 면적과 이탈된 안와내 조직의 부피에 따른 안구함몰 정도
Degree of enophthalmos according to the extent of orbital wall fracture and volume of herniated orbital tissue
장학선, 임대호, 백진아, 신효근, 고승오,
소속 상세정보
장학선 ( Jang Hak-Sun ) - 전북대학교 치의학전문대학원 구강안악면외과학교실
임대호 ( Leem Dae-Ho ) - 전북대학교 치의학전문대학원 구강안악면외과학교실
백진아 ( Baek Jin-A ) - 전북대학교 치의학전문대학원 구강안악면외과학교실
신효근 ( Shin Hyo-Keun ) - 전북대학교 치의학전문대학원 구강안악면외과학교실
고승오 ( Ko Seung-O ) - 전북대학교 치의학전문대학원 구강안악면외과학교실
KMID : 0355620110370030205
Abstract
Introduction: The enlargement and deformation of the orbit give rise to a visible enophthalmos. As a consequence, a disturbance of eye motility together with double images is likely to occur. This study examined the degree of enophthalmos according to the extent of orbital wall fracture and volume of herniated orbital tissue in blowout fractures of the medial and inferior orbital wall.
Materials and Methods : This study was performed on patients diagnosed with medial and inferior orbital wall fractures at the Department of Oral and maxillofacial surgery, Chonbuk National University Hospital from 2007 to 2009. The patients’ age, gender, etiology of fracture and degree of enophthalmos were investigated. The changes in the degree of enophthalomos, diplopia and ocular motility restriction after operation were examined.
Results:The degree of enophthalomos increased with increasing extent of orbital wall fracture and volume of herniated orbital tissue.
Conclusion: Whether to perform the operation is decided after measuring the extent of the orbital wall fracture and volume of herniated orbital tissue using computed tomography (CT), time for the decision of operation can be shortened. This can cause a decrease in the complications of orbital wall fractures.
키워드
Orbital wall fracture; Blowout fracture; Enophthalmos; Diplopia; Ocular motility restriction
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