Browse > Article

Treatment of Severe Blepharoptosis after Blow Out Fracture  

Kim, Nam-Hun (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine)
Yang, Jeong-Yeol (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine)
Moon, Jae-Won (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine)
Kim, Gyu-Bo (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine)
Cheon, Ji-Seon (Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine)
Publication Information
Archives of Plastic Surgery / v.37, no.4, 2010 , pp. 461-464 More about this Journal
Abstract
Purpose: Blepharoptosis can result from either congenital or acquired causes. Blow out fracture or facial bone fracture including blow out fracture can be one of the causes. Authors experienced 3 cases of severe blepharoptosis after blow out fracture treated only with observation after reduction of associated fracture. Methods: Reconstruction of orbital wall was conducted on all cases diagnosed as blow out fracture using 3 dimensional computed tomography, and conservative treatment was done on accompanying severe blepharoptosis. Results: At the time of injury, all cases showed severe blepharoptosis requiring frontalis muscle transfer for correction. But blepharoptosis was recovered in an average of 18 weeks without any surgical procedure except reconstruction of orbital wall. Conclusion: Once Blepharoptosis occurred after blow out fracture, thorough evaluation must be done at first. If definitive cause of blepahroptisis cannot be found as authors' cases, injury of oculomotor nerve may result in blepharoptosis. So, as for blepharoptosis after blow out fracture, conservative treatment following reconstruction of fractured orbital wall can be one of good management.
Keywords
Blow out fracture; Blepharoptosis;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Finsterer J: Ptosis: causes, presentation, and management. Aesthetic Plast Surg 27: 193, 2003   DOI   ScienceOn
2 Kim IS, Choi JB, Rah SH, Lee SY: Classification of ptosis in Korea. J Korean Ophthalmol Soc 46: 1262, 2005
3 Choe KS, Kim YS, Lee TS: A clinical study of surgical results on 456 blepharoptosis. J Korean Ophthalmol Soc 36: 1093, 1995
4 Stephen J. Mathes: Mathes Plastic Surgery Vol. 3. 2nd ed, Philadelphia, Saunders, 2006, p 328
5 Frank H. Netter: The ciba collection of medical illustration Vol. 1, U.S.A, CIBA, 1983, p 98
6 Park KH, Chang BL: The etiology and clinical feature of the third, fourth, and sixth cranial nerve palsy. J Korean Ophthalmol Soc 38: 1432, 1997
7 Jung JW, Chi MJ: Temporary unilateral neurogenic blepharoptosis after orbital medial wall reconstruction: 3 cases. Ophthalmologica 222: 360, 2008   DOI
8 Kang JS: Kang Jin Sung Plastic Surgery. 3rd ed, Seoul, Koonja, 2004, p 1003