Archives of Plastic Surgery

  • 제43권3호
  • /
  • Pages.229-236
  • /
  • 2016
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Considerations for the Management of Medial Orbital Wall Blowout Fracture

  • Kim, Yong-Ha (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) ;
  • Park, Youngsoo (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine) ;
  • Chung, Kyu Jin (Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine)
  • 투고 : 2016.04.07
  • 심사 : 2016.05.13
  • 발행 : 2016.05.18
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초록

Recently, diagnoses of and operations for medial orbital blowout fracture have increased because of the development of imaging technology. In this article, the authors review the literature, and overview the accumulated knowledge about the orbital anatomy, fracture mechanisms, surgical approaches, reconstruction materials, and surgical methods. In terms of surgical approaches, transcaruncular, transcutaneous, and transnasal endoscopic approaches are discussed. Reconstruction methods including onlay covering, inlay implantation, and repositioning methods are also discussed. Consideration and understanding of these should lead to more optimal outcomes.

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참고문헌

  1. Park MS, Kim YJ, Kim H, et al. Prevalence of diplopia and extraocular movement limitation according to the location of isolated pure blowout fractures. Arch Plast Surg 2012;39: 204-8. https://doi.org/10.5999/aps.2012.39.3.204
  2. Choi KE, Lee J, Lee H, et al. the paradoxical predominance of medial wall injuries in blowout fracture. J Craniofac Surg 2015;26:e752-5. https://doi.org/10.1097/SCS.0000000000002208
  3. Choi M, Flores RL. Medial orbital wall fractures and the transcaruncular approach. J Craniofac Surg 2012;23:696-701. https://doi.org/10.1097/SCS.0b013e31824dba84
  4. Burm JS, Oh SJ. Direct local approach through a W-shaped incision in moderate or severe blowout fractures of the medial orbital wall. Plast Reconstr Surg 2001;107:920-8. https://doi.org/10.1097/00006534-200104010-00003
  5. Rodriguez ED, Dorafshar AH, Manson PN. Facial fractures. In: Neligan P, Rodriguez ED, Losee JE, editors. Plastic surgery. Philadelphia: Elsevier Saunders; 2013. p.53-7.
  6. Hwang K, Baik SH. Surgical anatomy of the orbit of Korean adults. J Craniofac Surg 1999;10:129-34. https://doi.org/10.1097/00001665-199903000-00008
  7. Janfaza P. Surgical anatomy of the head and neck. Cambridge: Harvard University Press; 2011.
  8. Zide BM, Luce CA, Boutros SG, et al. Surgical anatomy around the orbit : the system of zones. Philadelphia: Lippincott Williams & Wilkins; 2006.
  9. Shin KJ, Lee DG, Park HM, et al. The merits of mannitol in the repair of orbital blowout fracture. Arch Plast Surg 2013; 40:721-7. https://doi.org/10.5999/aps.2013.40.6.721
  10. Lim NK, Kang DH, Oh SA, et al. Orbital wall restoring surgery in pure blowout fractures. Arch Plast Surg 2014;41:686-92. https://doi.org/10.5999/aps.2014.41.6.686
  11. Chen CT, Huang F, Chen YR. Management of posttraumatic enophthalmos. Chang Gung Med J 2006;29:251-61.
  12. Fujino T, Makino K. Entrapment mechanism and ocular injury in orbital blowout fracture. Plast Reconstr Surg 1980; 65:571-6. https://doi.org/10.1097/00006534-198005000-00004
  13. Fujino T. Experimental "blowout" fracture of the orbit. Plast Reconstr Surg 1974;54:81-2. https://doi.org/10.1097/00006534-197407000-00010
  14. Rhee JS, Kilde J, Yoganadan N, et al. Orbital blowout fractures: experimental evidence for the pure hydraulic theory. Arch Facial Plast Surg 2002;4:98-101. https://doi.org/10.1001/archfaci.4.2.98
  15. Smith B, Regan WF Jr. Blow-out fracture of the orbit; mechanism and correction of internal orbital fracture. Am J Ophthalmol 1957;44:733-9. https://doi.org/10.1016/0002-9394(76)90774-1
  16. Waterhouse N, Lyne J, Urdang M, et al. An investigation into the mechanism of orbital blowout fractures. Br J Plast Surg 1999;52:607-12. https://doi.org/10.1054/bjps.1999.3194
  17. Erling BF, Iliff N, Robertson B, et al. Footprints of the globe: a practical look at the mechanism of orbital blowout fractures, with a revisit to the work of Raymond Pfeiffer. Plast Reconstr Surg 1999;103:1313-6. https://doi.org/10.1097/00006534-199904010-00036
  18. Pfeiffer RL. Traumatic Enophthalmos. Trans Am Ophthalmol Soc 1943;41:293-306.
  19. Dubois L, Steenen SA, Gooris PJ, et al. Controversies in orbital reconstruction-- II. Timing of post-traumatic orbital reconstruction: a systematic review. Int J Oral Maxillofac Surg 2015;44:433-40. https://doi.org/10.1016/j.ijom.2014.12.003
  20. Kim NH, Kang SJ. Correlation between the time to surgery and that to recovery from postoperative diplopia based on a single-center, retrospective experience: a case series of 11 patients. Arch Plast Surg 2014;41:486-92. https://doi.org/10.5999/aps.2014.41.5.486
  21. Sung YS, Chung CM, Hong IP. The correlation between the degree of enophthalmos and the extent of fracture in medial orbital wall fracture left untreated for over six months: a retrospective analysis of 81 cases at a single institution. Arch Plast Surg 2013;40:335-40. https://doi.org/10.5999/aps.2013.40.4.335
  22. Boyette JR, Pemberton JD, Bonilla-Velez J. Management of orbital fractures: challenges and solutions. Clin Ophthalmol 2015;9:2127-37.
  23. Kim YH, Kim TG, Lee JH, et al. Inlay implanting technique for the correction of medial orbital wall fracture. Plast Reconstr Surg 2011;127:321-6. https://doi.org/10.1097/PRS.0b013e3181f95cfd
  24. Lee JW, Choi JI, Ha W, et al. Analysis and management of complications of open reduction and medpor insertion through transconjunctival incision in blowout fractures. Arch Craniofac Surg 2012;13:22-8. https://doi.org/10.7181/acfs.2012.13.1.22
  25. Jung DW, Chung KJ, Kim YH. The use of a transparent corneal protector permits early detection of mydriasis to prevent blindness during orbital wall fracture surgery. Arch Plast Surg 2013;40:791-2. https://doi.org/10.5999/aps.2013.40.6.791
  26. Ellis E, Zide MF. Surgical approaches to the facial skeleton. Philadelphia: Lippincott Williams & Wilkins; 2006.
  27. Kim KS, Kim ES, Hwang JH. Combined transcutaneous transethmoidal/transorbital approach for the treatment of medial orbital blowout fractures. Plast Reconstr Surg 2006; 117:1947-55. https://doi.org/10.1097/01.prs.0000218330.55731.2d
  28. Jung JA, Gong JS, Kim YW, et al. modified direct w-incision with silicone sheet to minimize operation scar in reconstruction of mild to moderate symptomatic medial orbital wall fracture. Arch Craniofac Surg 2013;14:30-5. https://doi.org/10.7181/acfs.2013.14.1.30
  29. Kim HK, Baek WI, Bae TH, et al. Usefulness of subciliary approach by using lacrimal sac stripping for large isolated medial orbital fracture reconstruction. Ann Plast Surg 2015; 75:170-3. https://doi.org/10.1097/SAP.0000000000000062
  30. Kim HS, Kim SE, Evans GR, et al. The usability of the upper eyelid crease approach for correction of medial orbital wall blowout fracture. Plast Reconstr Surg 2012;130:898-905. https://doi.org/10.1097/PRS.0b013e318262f3d9
  31. Lee MJ, Kang YS, Yang JY, et al. Endoscopic transnasal approach for the treatment of medial orbital blow-out fracture: a technique for controlling the fractured wall with a balloon catheter and Merocel. Plast Reconstr Surg 2002;110:417-26. https://doi.org/10.1097/00006534-200208000-00006
  32. Lee TH, Lee HM, Lee JM, et al. Endoscopic reduction of orbital medial wall fracture using rotational repositioning of the fractured: lamina papyracea fragment. J Craniofac Surg 2014;25:460-2. https://doi.org/10.1097/SCS.0000000000000507
  33. We J, Kim Y, Jung T, et al. Modified technique for endoscopic endonasal reduction of medial orbital wall fracture using a resorbable panel. Ophthal Plast Reconstr Surg 2009;25:303-5. https://doi.org/10.1097/IOP.0b013e3181ab64ce
  34. Jeon SY, Kim C, Ma Y, et al. Microsurgical intranasal reconstruction of isolated blowout fractures of the medial orbital wall. Laryngoscope 1996;106:910-3. https://doi.org/10.1097/00005537-199607000-00024
  35. Dubois L, Steenen SA, Gooris PJ, et al. Controversies in orbital reconstruction- III. Biomaterials for orbital reconstruction: a review with clinical recommendations. Int J Oral Maxillofac Surg 2016;45:41-50. https://doi.org/10.1016/j.ijom.2015.06.024
  36. Avashia YJ, Sastry A, Fan KL, et al. Materials used for reconstruction after orbital floor fracture. J Craniofac Surg 2012; 23:1991-7.
  37. Chowdhury K, Krause GE. Selection of materials for orbital floor reconstruction. Arch Otolaryngol Head Neck Surg 1998; 124:1398-401. https://doi.org/10.1001/archotol.124.12.1398
  38. Ilankovan V, Jackson IT. Experience in the use of calvarial bone grafts in orbital reconstruction. Br J Oral Maxillofac Surg 1992;30:92-6. https://doi.org/10.1016/0266-4356(92)90077-V
  39. Talesh KT, Babaee S, Vahdati SA, et al. Effectiveness of a nasoseptal cartilaginous graft for repairing traumatic fractures of the inferior orbital wall. Br J Oral Maxillofac Surg 2009; 47:10-3. https://doi.org/10.1016/j.bjoms.2008.04.017
  40. Young VL, Schuster RH, Harris LW. Intracerebral hematoma complicating split calvarial bone-graft harvesting. Plast Reconstr Surg 1990;86:763-5. https://doi.org/10.1097/00006534-199010000-00029
  41. Zins JE, Whitaker LA. Membranous versus endochondral bone: implications for craniofacial reconstruction. Plast Reconstr Surg 1983;72:778-85. https://doi.org/10.1097/00006534-198312000-00005
  42. Lee KM, Park JU, Kwon ST, et al. Three-dimensional pre-bent titanium implant for concomitant orbital floor and medial wall fractures in an East asian population. Arch Plast Surg 2014;41:480-5. https://doi.org/10.5999/aps.2014.41.5.480
  43. Baek WI, Kim HK, Kim WS, et al. Comparison of absorbable mesh plate versus titanium-dynamic mesh plate in reconstruction of blow-out fracture: an analysis of long-term outcomes. Arch Plast Surg 2014;41:355-61. https://doi.org/10.5999/aps.2014.41.4.355
  44. Mackenzie DJ, Arora B, Hansen J. Orbital floor repair with titanium mesh screen. J Craniomaxillofac Trauma 1999;5:9-16.
  45. Schubert W, Gear AJ, Lee C, et al. Incorporation of titanium mesh in orbital and midface reconstruction. Plast Reconstr Surg 2002;110:1022-30. https://doi.org/10.1097/00006534-200209150-00002
  46. Reich W, Seidel D, Bredehorn-Mayr T, et al. Reconstruction of isolated orbital floor fractures with a prefabricated titanium mesh. Klin Monbl Augenheilkd 2014;231:246-55. https://doi.org/10.1055/s-0033-1360355
  47. Choi TJ, Burm JS, Yang WY, et al. A wrapping method for inserting titanium micro-mesh implants in the reconstruction of blowout fractures. Arch Plast Surg 2016;43:84-7. https://doi.org/10.5999/aps.2016.43.1.84
  48. Mok D, Lessard L, Cordoba C, et al. A review of materials currently used in orbital floor reconstruction. Can J Plast Surg 2004;12:134-40. https://doi.org/10.1177/229255030401200302
  49. Dubois L, Steenen SA, Gooris PJ, et al. Controversies in orbital reconstruction-- I. Defect-driven orbital reconstruction: a systematic review. Int J Oral Maxillofac Surg 2015;44:308-15. https://doi.org/10.1016/j.ijom.2014.12.002
  50. Bell RB, Markiewicz MR. Computer-assisted planning, stereolithographic modeling, and intraoperative navigation for complex orbital reconstruction: a descriptive study in a preliminary cohort. J Oral Maxillofac Surg 2009;67:2559-70. https://doi.org/10.1016/j.joms.2009.07.098
  51. Kim YH, Jung DW, Kim TG, et al. Correction of orbital wall fracture close to the optic canal using computer-assisted navigation surgery. J Craniofac Surg 2013;24:1118-22. https://doi.org/10.1097/SCS.0b013e318290266a
  52. Hassfeld S, Muhling J, Zoller J. Intraoperative navigation in oral and maxillofacial surgery. Int J Oral Maxillofac Surg 1995; 24:111-9. https://doi.org/10.1016/S0901-5027(05)80871-9
  53. Hoelzle F, Klein M, Schwerdtner O, et al. Intraoperative computed tomography with the mobile CT Tomoscan M during surgical treatment of orbital fractures. Int J Oral Maxillofac Surg 2001;30:26-31. https://doi.org/10.1054/ijom.2000.0014
  54. Wilde F, Lorenz K, Ebner AK, et al. Intraoperative imaging with a 3D C-arm system after zygomatico-orbital complex fracture reduction. J Oral Maxillofac Surg 2013;71:894-910. https://doi.org/10.1016/j.joms.2012.10.031
  55. Liu XZ, Shu DL, Ran W, et al. Digital surgical templates for managing high-energy zygomaticomaxillary complex injuries associated with orbital volume change: a quantitative assessment. J Oral Maxillofac Surg 2013;71:1712-23. https://doi.org/10.1016/j.joms.2013.06.197

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