대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제20권4호
  • /
  • Pages.219-222
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  • 2019
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  • 2287-1152(pISSN)
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  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
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Approach for naso-orbito-ethmoidal fracture

  • Ha, Young In (Department of Plastic and Reconstructive Surgery, Hallym University Dongtan Sacred Heart Hospital) ;
  • Kim, Sang Hun (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital) ;
  • Park, Eun Soo (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital) ;
  • Kim, Yong Bae (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital)
  • 투고 : 2019.05.22
  • 심사 : 2019.07.29
  • 발행 : 2019.08.20
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초록

The purpose of this study is to discuss several approaches to addressing naso-orbito-ethmoidal (NOE) fracture. Orbital fracture, especially infraorbital fracture, can be treated through the transconjunctival approach easily. However, in more severe cases, for example, fracture extending to the medial orbital wall or zygomatico-frontal suture line, only transconjunctival incision is insufficient to secure good surgical field. And, it also has risk of tearing the conjunctiva, which could injure the lacrimal duct. Also, in most complex types of facial fracture such as NOE fracture or panfacial fracture, destruction of the structure often occurs, for example, trap-door deformity; a fracture of orbital floor where the inferiorly displaced blowout facture recoils to its original position, or vertical folding deformity; fractured fragments are displaced under the other fragments, causing multiple-packed layers of bone.

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참고문헌

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