얼굴뼈 CT 계측 모형을 이용한 안와벽골절의 재건

Orbital Wall Reconstruction by Copying a Template (defect model) from the Facial CT in Blow-out Fracture

  • 김재근 (인하대학교 의학전문대학원 성형외과학교실) ;
  • 유선혜 (인하대학교 의학전문대학원 성형외과학교실) ;
  • 황건 (인하대학교 의학전문대학원 성형외과학교실) ;
  • 황진희 (인하대학교 의학전문대학원 성형외과학교실)
  • Kim, Jae Keun (Department of Plastic Surgery, Inha University School of Medicine) ;
  • You, Sun Hye (Department of Plastic Surgery, Inha University School of Medicine) ;
  • Hwang, Kun (Department of Plastic Surgery, Inha University School of Medicine) ;
  • Hwang, Jin Hee (Department of Plastic Surgery, Inha University School of Medicine)
  • 투고 : 2009.02.14
  • 심사 : 2009.05.14
  • 발행 : 2009.11.10

초록

Purpose: Recently, orbital wall fracture is common injuries in the face. Facial CT is essential for the accurate diagnosis and appropriate treatment to reconstruct of the orbital wall. The objective of this study was to report the method for accurate measurement of area and shape of the bony defect in the blow-out fractures using facial CT in prior to surgery. Methods: The authors experienced 46 cases of orbital wall fractures and examined for diplopia, sensory disturbance in the area of distribution of the infraorbital nerve, and enophthalmos in the preoperation and followed 1 months after surgery, from August 2007 to May 2008. Bony defect was predicted by measuring continuous defect size from 3 mm interval facial CT. Copying from the defect model (template), we reconstructed orbital wall with resorbable sheet (Inion $CPS^{(R)}$ Inion Oy, Tampere, Finland). Results: One months after surgery using this method, 26 (100%) of the 26 patients improved in the diplopia and sensory disturbance in the area of distribution of the infraorbital nerve. Also 8 (72.7%) of the 11 patients had enophthalmos took favorable turn. Conclusion: This accurate and time-saving method is practicable for determining the location, shape and size of the bony defect. Using this method, we can reconstruct orbital wall fracture fastly and precisely.

키워드

과제정보

연구 과제 주관 기관 : 한국학술진흥재단