상악동 전벽 이식술을 이용한 안와의 True Blow-out Fracture 처치

• 영문명: Management of true blow-out fractures of the orbital floor by transplant of anterior wall of the maxillary sinus
• 발행기관: 대한구강악안면외과학회
• 저자명: 이재휘(Jae Hwy Lee) 배정수(Jung Soo Bae) 장동수(Dong Soo Jang)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제19권 제3호, 389~399쪽, 전체 11쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 1993.07.30

영문 초록

Bony anatomy of the orbit is composed of frontal bone, maxilla, zygomatic bone, sphenoid, ethmoid, lacrimal bone, and palatine bone. Frontal bone, maxilla, and zygomatic bone are particularly strong, but the walls of funnel-shaped orbit consist in part of very thin bony lamellae, with only little resistance to trauma. These anatomic factors explain the very special fracture mechanisms that prevail in the orbital region, especially true blow-out fracture of the orbital floor. In 1957, Smith and Regan originated the term blow-out fracture to describe a specific type of fracture of the orbital floor without fracture of the orbital rim and with entrapment of one or more orbital soft tissue structures, thus limiting vertical ocular mobility and causing diplopia and enophthalmos. At least four methods of rebuilding the orbital floor are commonly employed. These include repositioning of the displaced bones ; use of alloplastic graft material such as Marlex mesh, Silastic, and Teflon ; autogenous bone grafts ; homografts such as lyophilized dura. This report presents 3 cases of true blow-out fracture of the orbital floor that was treated by autogenous bone graft, especially thin transplants from anterior wall of the maxillary sinus.

목차

Abstract

I. 서론

II. 증례

III. 총괄 및 고찰

IV. 요약

참고문헌

키워드

True blow-out fracture Orbital floor Antral wall Transplant