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뒤쪽까지 연장된 거대 안와하벽골절에서 다공성 폴리에틸렌 통로 삽입물을 이용한 안와골절 정복술

Other Titles
 Repair of Large Posterior Inferior Wall Fracture Using Medpor Channel Sheet Implant 
Authors
 윤진숙  ;  정승아  ;  이상렬 
Citation
 Journal of the Korean Ophthalmological Society (대한안과학회지), Vol.47(8) : 1217-1224, 2006 
Journal Title
 Journal of the Korean Ophthalmological Society (대한안과학회지) 
ISSN
 0378-6471 
Issue Date
2006
Keywords
Large inferior orbital wall fracture ; MedporⓇ (porous polyethylene) channel sheet
Abstract
Purpose: To evaluate the effectiveness of a Medpor® (porous polyethylene) channel sheet in large posterior and inferior orbital wall fracture repair. Methods: We retrospectively analyzed the clinical features and postoperative outcomes of 52 patients who had undergone orbital wall reconstruction with a Medpor® (porous polyethylene) channel sheet between February 1999 and December 2005. Results: Among 52 patients, 44 were men and 8 were women, with average age of 30.8 years and average follow-up period of 6.3 months. The surgery was performed on average at15 days after injury in 44 patients, except for in 8 reoperated cases. Miniplate or microplate fixation on the orbital rim with a Medpor® Channel was required in all 52 patients for large posterior inferior wall fracture. Preoperatively, 43 patients had symptomatic diplopia, which resolved completely in 32 patients and decreased in 11 following surgery. No patients had induced diplopia or exacerbation of preoperative diplopia, except the primary gaze of 2 patients with hypertropia remained, requiring strabismus correction. The mean difference in preoperative enophthalmos between both eyes was 2.8 ㎜, which improved to 0.8 ㎜ at the last follow-up. There were no instances of orbital infection, implant exposure or migration, or visual loss during follow-up. Conclusions: Medpor® channel implant provided optimal reconstruction of large inferior orbital wall fracture with posterior defect that lacked structural support.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Yoon, Jin Sook(윤진숙) ORCID logo https://orcid.org/0000-0002-8751-9467
Lee, Sang Yeul(이상열)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/108996
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