안와파열골절 재건의 임상적 고찰 = CLINICAL STUDY OF RECONSTRUCTION OF THE BLOW-OUT FRACTURES

다국어 초록 (Multilingual Abstract)

A blow-out fracture is caused by the application of a traumatic force to the rim or the soft tissues of the orbit accompanied by a sudden increase in intraorbital pressure. The frequent site of blow-out fracture are the thin portions of the floor and medial wall of the orbit.
Blow-out fracture may easily be overlooked because they give clinical symptoms in only a few instances, and in an area difficult to visualize radiologically. Thus the chance to diagnose this type of fracture depends solely on the throuness of the clinical examinations, the skill and persistence to find a blow-out fractures from February, 1993 to November, 1995. Among the them, we studied 36 patients who had follow-up study, based on the chart and X-ray.
In conclusion, the authors state that
(1) Unrecognized, untreated blow-out fractures result in significant functional and cosmetic defects. (2) Careful examination for signs of the blow-out fracture should be carried out. (3) Facial CT scan is superior to conventional radiograghy in diagnosis of blow-out fractures. (4) Adequate exposure is necessary for successful fracture reconstruction. (5) To correct the defect, we used bone and cartilage graft and alloplastic implants.