Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Survey and Review of Blowout Fractures

안와벽 파열골절에 대한 임상적 고찰

  • Eun, Seok Chan (Department of Plastic and Reconstructive Surgery, College of Medicine Seoul National University) ;
  • Heo, Chan Yeong (Department of Plastic and Reconstructive Surgery, College of Medicine Seoul National University) ;
  • Baek, Rong Min (Department of Plastic and Reconstructive Surgery, College of Medicine Seoul National University) ;
  • Minn, Kywng Won (Department of Plastic and Reconstructive Surgery, College of Medicine Seoul National University) ;
  • Chung, Chul Hoon (Department of Plastic and Reconstructive Surgery, College of Medicine Hallym University) ;
  • Oh, Suk Joon (Department of Plastic and Reconstructive Surgery, College of Medicine Hallym University)
  • 은석찬 (서울대학교 의과대학 성형외과학교실) ;
  • 허찬영 (서울대학교 의과대학 성형외과학교실) ;
  • 백롱민 (서울대학교 의과대학 성형외과학교실) ;
  • 민경원 (서울대학교 의과대학 성형외과학교실) ;
  • 정철훈 (한림대학교 의과대학 성형외과학교실) ;
  • 오석준 (한림대학교 의과대학 성형외과학교실)
  • Received : 2007.04.12
  • Published : 2007.09.10
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Abstract

Purpose: Blowout fractures of the orbit are common sequelae to blunt facial trauma and now increasing in number due to automobile accidents, violence and industrial disasters. There are some reports of diagnosis and treatment of this fracture, but detailed data provided in overall aspects are very few. We analysed extensive data to provide guide line of blowout fracture patients care. Methods: We retrospectively studied 387 orbital blowout fracture patients who had been followed up at least 3-6 months. Their hospital records were reviewed according to causes, fracture site, operation methods, and follow up results, etc. Results: The ratio of males to females was 7 : 3 and fractures were most often seen in the 20-29 age group. 180(47%) patients had medial orbital wall fractures, 155(40%) patients had floor fractures and 52(13%) patients had a combination of orbital floor and medial wall fractures. The highest associated bone fracture was the nasal bone(37%). The open reduction was done in the 324 patients(83.7%) and insertion materials were used in the 249 patients(77%). Total 45 patients(14%) complained of residual diplopia and 26 patients(8%) kept mild enophthalmos. 24 patients(7%) showed some restriction of extraocular muscle movements. Conclusion: We broadly surveyed the information of blow out fracture patients and believe that this study provides important prognostic information that can be of benefit to both patient and surgeon during preoperative counseling and postoperative analysis of orbital blowout fractures.

Keywords

References

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