하내측 지주의 골절을 동반한 안와 하벽과 내벽 동시 골절 2예 = Two Cases of Combined Orbital Fractures Involving Medial Wall, Inferior Wall and Inferomedial Strut

다국어 초록 (Multilingual Abstract)

Surgical treatment of combined orbital floor and medial wall fractures involving inferomedial strut can be technically challenging because of absent peripheral bony support for implants. These fractures were conventionally reconstructed with some implants for reconstruction of inferior and medial wall through the external approach. Preparing accurate 3-dimentional implants is time-consuming and inserting large implants through a limited incision site is also troublesome. The authors present two cases of this type of fracture that are successfully repaired using a new strategy by separately repairing the medial and inferior wall combined with inferomedial strut reduction.

참고문헌 (Reference)

1 권민상, "안와 외향골절 정복술에서 치료성적 및 술후 합병증 분석" 대한이비인후과학회 49 (49): 802-806, 2006

2 Chen CT, "Update on orbital reconstruction" 18 (18): 311-316, 2010

3 Goldberg RA, "The medical orbital strut in the prevention of postdecompression dystopia in dysthyroid ophthalmopathy" 8 (8): 32-34, 1992

4 Kim JW, "The inferomedial orbital strut: an anatomic and radiographic study" 18 (18): 355-364, 2002

5 de Silva DJ, "Orbital blowout fractures and race" 118 (118): 1677-1680, 2011

6 Nunery WR, "Nylon foil “wraparound” repair of combined orbital floor and medial wall fractures" 24 (24): 271-275, 2008

7 Schön R, "Individually preformed titanium mesh implants for a true-to-original repair of orbital fractures" 35 (35): 990-995, 2006

8 Jin HR, "Endoscopic versus external repair of orbital blowout fractures" 136 (136): 38-44, 2007

9 Wright ED, "Endoscopic orbital decompression with preservation of an inferomedial bony strut: minimization of postoperative diplopia" 28 (28): 252-256, 1999

10 Jin HR, "Endonasal endoscopic reduction of blowout fractures of the medial orbital walls" 41 (41): 755-759, 1998

11 Biesman BS, "Diplopia after surgical repair of orbital floor fractures" 12 (12): 9-16, 1996

12 Cho RI, "Combined orbital floor and medial wall fractures involving the inferomedial strut: repair technique and case series using preshaped porous polyethylene/titanium implants" 6 (6): 161-170, 2013

13 Su GW, "Combined inferior and medial surgical approaches and overlapping thin implants for orbital floor and medial wall fractures" 22 (22): 420-423, 2006