원저

안와내벽골절의 내시경적 정복술의 유용성

정진혁1,*, 민현정1, 정재호1, 조석현1, 김경래1, 이윤정2
Jin Hyeok Jeong1,*, Hyun Jung Min1, Jae Ho Chung1, Seok Hyun Cho1, Kyung Rae Kim1, Yoon Jung Lee2
Author Information & Copyright
1한양대학교 의과대학 이비인후-두경부외과학교실
2안과학교실
1Department of Otolaryngology-Head and Neck Surgery, Hanyang University, Seoul, Korea
2Ophthalmology, School of Medicine, Hanyang University, Seoul, Korea
*교신저자: 정진혁, 471-701 경기도 구리시 교문동 249-1 한양대학교 의과대학 이비인후과학교실 전화: (031) 560-2368, 2360·전송: (031) 566-4884 E-mail: ent@hanyang.ac.kr

© Copyright 2006 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Feb 20, 2006; Accepted: Jun 22, 2006

Published Online: May 31, 2020

ABSTRACT

Objectives: Conventionally, reconstruction of blowout fractures of the medial orbital wall has been performed by the transorbital approach. Advanced high resolution endoscopes currently provide surgeons with excellent visualization and access the medial orbital wall without external incision. We studied the clinical results and effectiveness of endoscopic endonasal approach that allows the repair of blowout fractures of the medial orbital wall. Materials and Methods: Fifteen patients with blowout fractures of the medial orbital wall treated by endoscopic endonasal reconstruction were studied retrospectively. The area of fracture site and the volume of herniated orbital tissue were measured in computed tomographic scans. Operative results and the relationship between ophthalmic symptoms and signs and measured value were analyzed. Results: All patients showed a complete improvement of their symptoms. There was no intraoperative or postoperative complications. The average area of fracture site and volume of herniated tissue were 1.96 cm2 and 0.65 ml, respectively. Fracture area over 2 cm2 was significant correlated with diplopia. Enophthalmos over 2 mm could be expected with large defect area and herniated volume. Conclusion: Endoscopic endonasal reconstruction of blowout fractures of the medial orbital wall without an external incision has provided good functional and cosmetic results. (J Clinical Otolaryngol 2006;17:114-119)

Keywords: 안와외향골절; 비내시경; 재건수술
Keywords: Orbital fractures; Endoscope; Reconstructive surgical procedures