안와관골 복합골절의 3차원적 분류에 따른 수술의 결과

• 영문명: Surgical Results of Zygomatico-Orbital Complex Fractures according to the 3-dimensional Classification
• 발행기관: 대한안과학회
• 저자명: 김상우 이창환 박도훈,Sang-Woo Kim, M.D. Chang-Hwan Lee, M.D. Do-Hoon Park, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number12, 1957~1966쪽, 전체 10쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.12.31

영문 초록

Purpose: To classify zygomatico-orbital fractures based on Zingg’s classification and to evaluate the results of treatment. Methods: Thirty patients who were diagnosed with zygomatico-orbital fracture between 2000 and 2004 were classified based on Zingg’s classification, were treated and followed up for more than 3 months. Of the 30 patients, 28 received surgical treatment, including Gillies reduction or open reduction and rigid fixation with a microplate. Results: The mean follow-up period was 6 months. Most of the patients were satisified with the results of surgery. There were no secondary operations due to facial asymmetry, secondary wound infection, microplate exposure or paresthesia. However, there were 3 re-operations for diplopia, enophthalmos, and lower eyelid retraction, respectively; the conditions had persisted until postoperative 2 weeks. Conclusions: The use of 3-dimensional Zingg’s classification for zygomatico-orbital fractures appeared to be beneficial in making more accurate diagnoses and in determining surgical treatment. Oculoplastic approaches, including subciliary or transconjunctival incision, Gillies reduction and rigid fixation with a microplate, are considered to be good methods for the treatment of zygomatico-orbital fractures, as they are associated with exact anatomical and functional restoration and few complications.

키워드

3-dimensional classification, Microplate, Zygomatico-orbital fracture