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부비동염 및 비용종을 동반한 안와내벽 외향골절의 내시경적 치료 3예
정태영,위재운,권재환 대한이비인후과학회 2012 대한이비인후과학회지 두경부외과학 Vol.55 No.4
The most possible complication of transnasal reconstruction of medial orbital wall fracture is infection of the dependent sinuses. As a result, endoscopic reduction in a medial blowout fracture with sinusitis and nasal polyp has been avoided. The silastic sheet and Merocel packing, which are placed in the ethmoid sinus, may cause or worsen sinusitis since they could cover up the natural ostia in the vicinity of sinuses. The spread of infection into the orbital wall and the difficulty of recognizing between herniated orbital tissues, infection and nasal polyp makes it difficult to perform endoscopic reduction when there are concomitant sinusitis and nasal polyp. The author reports three recently encountered cases of endoscopic reduction of medial blowout fracture with sinusitis and nasal polyp.