Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Degree of enophthalmos according to the extent of orbital wall fracture and volume of herniated orbital tissue

안와벽 골절 면적과 이탈된 안와내 조직의 부피에 따른 안구함몰 정도

  • Jang, Hak-Sun (Department of Oral & Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Brain Korea 21 project, Chonbuk National University) ;
  • Leem, Dae-Ho (Department of Oral & Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Brain Korea 21 project, Chonbuk National University) ;
  • Baek, Jin-A (Department of Oral & Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Brain Korea 21 project, Chonbuk National University) ;
  • Shin, Hyo-Keun (Department of Oral & Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Brain Korea 21 project, Chonbuk National University) ;
  • Ko, Seung-O (Department of Oral & Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Brain Korea 21 project, Chonbuk National University)
  • 장학선 (전북대학교 치의학전문대학원 구강악안면외과학교실, 구강생체과학연구소, BK21 사업) ;
  • 임대호 (전북대학교 치의학전문대학원 구강악안면외과학교실, 구강생체과학연구소, BK21 사업) ;
  • 백진아 (전북대학교 치의학전문대학원 구강악안면외과학교실, 구강생체과학연구소, BK21 사업) ;
  • 신효근 (전북대학교 치의학전문대학원 구강악안면외과학교실, 구강생체과학연구소, BK21 사업) ;
  • 고승오 (전북대학교 치의학전문대학원 구강악안면외과학교실, 구강생체과학연구소, BK21 사업)
  • Received : 2011.02.10
  • Accepted : 2011.05.31
  • Published : 2011.06.30
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Abstract

Introduction: The enlargement and deformation of the orbit give rise to a visible enophthalmos. As a consequence, a disturbance of eye motility together with double images is likely to occur. This study examined the degree of enophthalmos according to the extent of orbital wall fracture and volume of herniated orbital tissue in blowout fractures of the medial and inferior orbital wall. Materials and Methods: This study was performed on patients diagnosed with medial and inferior orbital wall fractures at the Department of Oral and maxillofacial surgery, Chonbuk National University Hospital from 2007 to 2009. The patients' age, gender, etiology of fracture and degree of enophthalmos were investigated. The changes in the degree of enophthalomos, diplopia and ocular motility restriction after operation were examined. Results: The degree of enophthalomos increased with increasing extent of orbital wall fracture and volume of herniated orbital tissue. Conclusion: Whether to perform the operation is decided after measuring the extent of the orbital wall fracture and volume of herniated orbital tissue using computed tomography (CT), time for the decision of operation can be shortened. This can cause a decrease in the complications of orbital wall fractures.

Keywords

References

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