Titanium Micro-mesh의 개형을 통한 하벽부 안와골절의 재건 (The Inferior Orbital Wall Reconstruction by Titanium Micro-mesh Remodeling)

서지정보

· 발행기관 : 대한두개안면성형외과학회
· 수록지 정보 : Archives of Craniofacial Surgery / 10권 / 2호 / 81 ~ 85페이지
· 저자명 : 김한구, 최민석, 김우섭, 배태희

초록

Purpose: The inferior orbital wall is the most vulnerable
to injury and inadequate reconstruction of inferior orbital
fracture result in postoperative complications include
enophthalmos, ocular dystopia and diplopia. Although the
anatomical reconstruction of the inferior orbital wall is
necessary to prevent these complications, the complexity
of inferior orbital wall makes it difficult. We fabricated and
remodeled the titanium micro-mesh plate for the anatomical
reconstruction of inferior orbital wall.
Methods: Twenty-nine patients with inferior orbital wall
blow-out fracture were operated and twelve of them
presented large extensive fracture. We intraoperatively
fabricated and remodeled the Titanium-micro mesh to
angulated lazy S shape similar to contralateral uninjured
orbit. The preoperative and postoperative facial CT scan
verified the 3-dimensional and anatomical reconstruction of
the fractures. The mean follow-up was 19.7 months and
postoperative complications was evaluated.
Results: All cases showed the exact anatomical
reconstruction, but there were minor complications in two
cases. one patient had postoperative diplopia until 3months
after surgery and the other patient had persistent enophthalmos
(2 mm), but no further surgical correction was
required.
Conclusion: The comprehensive understanding of orbital
convexity is the most important factor for anatomical
reconstruction of inferior orbital fracture. We could prevent
postoperative complications after inferior orbital wall reconstruction
by intraoperative fabrication and anatomical
remodeling of Titanium micro-mesh.

영어초록

Purpose: The inferior orbital wall is the most vulnerable
to injury and inadequate reconstruction of inferior orbital
fracture result in postoperative complications include
enophthalmos, ocular dystopia and diplopia. Although the
anatomical reconstruction of the inferior orbital wall is
necessary to prevent these complications, the complexity
of inferior orbital wall makes it difficult. We fabricated and
remodeled the titanium micro-mesh plate for the anatomical
reconstruction of inferior orbital wall.
Methods: Twenty-nine patients with inferior orbital wall
blow-out fracture were operated and twelve of them
presented large extensive fracture. We intraoperatively
fabricated and remodeled the Titanium-micro mesh to
angulated lazy S shape similar to contralateral uninjured
orbit. The preoperative and postoperative facial CT scan
verified the 3-dimensional and anatomical reconstruction of
the fractures. The mean follow-up was 19.7 months and
postoperative complications was evaluated.
Results: All cases showed the exact anatomical
reconstruction, but there were minor complications in two
cases. one patient had postoperative diplopia until 3months
after surgery and the other patient had persistent enophthalmos
(2 mm), but no further surgical correction was
required.
Conclusion: The comprehensive understanding of orbital
convexity is the most important factor for anatomical
reconstruction of inferior orbital fracture. We could prevent
postoperative complications after inferior orbital wall reconstruction
by intraoperative fabrication and anatomical
remodeling of Titanium micro-mesh.

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