신속 조형 모델을 이용한 안와바닥 골절 정복술 (Effective Reconstruction of Extensive Orbital Floor Fractures Using Rapid Prototyping Model)

서지정보

· 발행기관 : 대한성형외과학회
· 수록지 정보 : Archives of Plastic Surgery / 37권 / 5호 / 633 ~ 638페이지
· 저자명 : 김혜영, 오득영, 이우성, 문석호, 서제원, 이중호, 이종원, 안상태

초록

Purpose: Orbital bone is one of the most complex bones in the human body. When the patient has a fracture of the orbital bone, it is difficult for the surgeon to restore the fractured orbital bone to normal anatomic curvature because the orbital bone has complex curvature. We developed a rapid prototyping model based on a mirror image of the patient’s 3D - CT(3 dimensional computed tomography) for accurate reduction of the fractured orbital wall.
Methods: A total of 7 cases of large orbital wall fracture recieved absorbable plate prefabrication using rapid prototyping model during surgery and had the manufactured plate inserted in the fracture site.
Results: There was no significant postoperative complication. One patient had persistent diplopia, but this resolved completely after 5 weeks. Enophthalmos was improved in all patients.
Conclusion: With long term follow - up, this new method of orbital wall reduction proved to be accurate, efficient and cost - effective, and we recommend this method for difficult large orbital wall fracture operations.

영어초록

Purpose: Orbital bone is one of the most complex bones in the human body. When the patient has a fracture of the orbital bone, it is difficult for the surgeon to restore the fractured orbital bone to normal anatomic curvature because the orbital bone has complex curvature. We developed a rapid prototyping model based on a mirror image of the patient’s 3D - CT(3 dimensional computed tomography) for accurate reduction of the fractured orbital wall.
Methods: A total of 7 cases of large orbital wall fracture recieved absorbable plate prefabrication using rapid prototyping model during surgery and had the manufactured plate inserted in the fracture site.
Results: There was no significant postoperative complication. One patient had persistent diplopia, but this resolved completely after 5 weeks. Enophthalmos was improved in all patients.
Conclusion: With long term follow - up, this new method of orbital wall reduction proved to be accurate, efficient and cost - effective, and we recommend this method for difficult large orbital wall fracture operations.

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