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眼底骨折의 治療

Blowout Fractures of Orbital Floor

경북의대잡지 1976년 17권 2호 p.230 ~ 239
강진성,
소속 상세정보
강진성 (  ) - 대구동산기독병원 성형외과

Abstract


According to the increasing speed, number of automobiles, and complicating automation in industry, blowout fractures of the orbit occur more frcquently than before. Early diagnosis and early trealment are essential in preventing permanent disability and deformity in order for patient to return to active life as soon as possible. However, the blowout fractures may be overlooked on the first examination.
Seven cases of orbital floor frctures were found in an eleven-month period in this department, September 18, 1975 to August 26, 1976. Five cases of orbital blowout fractures were in the second decade of life that seemed to coincide with an active social life. The most frequent cause was car accidents. Of those seven cases, impure blowout fractures were much more frequent, 6 times as frequent as the pure type.
Stereo Water´s views and tomograms of the orbital floor were the most helpful in making a diagnosis of blowout fractures. In some instances, contrast orbitography was desirable to make a more accurate diagnosis.
All cases needed open reduction and fixation, and three cases required the use of silastic sheets to cover the defect in the orbital floor. All cases escept one who sustained a slight diplopia were satisfied with the surgical treatment.

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