흡수성과 비흡수성 안와 내 삽입물을 이용한 안와 내벽골절 수술결과: 비교 연구

• 영문명: Reconstruction of Orbital Medial Wall Fracture with Absorbable and Non-Absorbable Orbital Implant: Comparative Study
• 발행기관: 대한안과학회
• 저자명: 김민경 장선영 최혜선,Min Kyung Kim, MD, Sun Young Jang, MD, Hye Sun Choi, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number5, 640~645쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.05.15

영문 초록

Purpose: To compare the surgical results and complications of medial wall fracture reconstruction using non-absorbable porous polyethylene implants (Medpor^{®, Stryker Instruments, Kalamazoo, Michigan, USA) and an absorbable polymer of polyglycolic acid (PGA) and polylactic acid (PLA) (Mesh plate®, Inion Ltd, Tampere, Finland). Methods: We retrospectively reviewed the data of patients who underwent reconstruction of medial wall fracture between January 2007 and June 2012 and divided them into 2 groups according to orbital implant type (Medpor®, Mesh plate®). Results: Among the 86 patients, 37 were treated with Medpor® and 49 with Mesh plate®. There was no statistically significant difference in limitation of motion or diplopia score between the 2 groups at postoperative 6 months (Fisher's exact test, p = 0.192, p = 0.128, respectively). Mean postoperative exophthalmometry differences between the eyes were 0.49 ± 1.04 mm and 0.37 ± 0.62 mm in Medpor® and Mesh plate® groups, respectively, showing no statistically significant difference (independent t-test, p = 0.512). Postoperative complications such as inflammation or implant malposition were observed only in 3 patients in the Medpor® group. Conclusions: No difference was observed between Medpor® and Mesh plate® in terms of surgical results during the postoperative 6 month period after reconstruction of orbital medial wall fracture. However, postoperative complications were observed in 3 patients in the Medpor® group. J Korean Ophthalmol Soc 2014;55(5):640-645}

키워드

Implants, Medial wall fracture, Medpor, Mesh plate, Orbital wall reconstruction