소아 안와골절 환자의 임상양상

• 영문명: A Clinical Study of Pediatric Orbital Wall Fracture
• 발행기관: 대한안과학회
• 저자명: 권윤형 박동원 정준영 안희배,Yoon Hyung Kwon, M.D., Dong Won Park, M.D., Jun Young Chung, M.D. Hee Bae Ahn, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number1, 7~12쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2006.01.31

영문 초록

Purpose: We sought to evaluate the clinical aspects associated with a preoperative and postoperative state in cases of blow-out fracture. Methods: We retrospectively assessed the cause, location, type, and ocular motility restriction in 25 eyes of 25 pediatric patients with blow-out fracture, which were repaired by orbital reconstruction between January 2001 and June 2004. Results: The mean age of patients was 14.96 years, the most common cause of fracture was assault (13 cases, 52%); there were 15 case (60%) of inferior wall fracture, 14 cases (45%) of comminuted type fracture, and 11 cases (35.4%) of trapdoor type fracture. The mean time to intervention was 14 days (range, 3 to 56 days). Ocular motility restriction improved most in the early postoperative period, and then decreased gradually. At last follow-up, the majority of patients had improved. Their diplopia improved almost completely, except in one patient who had late orbital reconstruction. Conclusions: Most cases of blow-out fracture were resolved with orbital reconstruction. Even when performed late, orbital reconstruction is helpful in improving the symptoms associated with blow-out fracture.

키워드

Diplopia, Ocular motion restriction, Pediatric orbital wall fracture, Reconstruction