고연령 안와파열 골절 환자의 수상 원인과 컴퓨터 단층촬영 소견 및 동반 골절의 연령별 비교 (The Causes of Blow-out Fracture in Old Age Patients and Their Computed Tomography Findings and Associated Facial Bone Fracture)

서지정보

· 발행기관 : 대한외상학회
· 수록지 정보 : 대한외상학회지 / 22권 / 1호 / 44 ~ 50페이지
· 저자명 : 서동우, 손창환, 정상구, 안신, 김원영, 김원

초록

Purpose: The purpose of this study was to evaluate the causes of blow-out fractures, the computed tomography
findings, and the associated facial bone fractures in aged patients.
Methods: This study was performed by conducting a chart review. From January 2004 to December 2007,
the patients who visited the emergency room of Asan Medical Center and were diagnosed as having a blow-out
fracture were included in the study population. Patients 60 years of age or older were grouped as the aged
group while patients younger than 60 years of age were grouped as the control group.
Results: Between the aged group and the control group, there was a difference in the causes of blow-out
fractures. The most common cause of blow-out fracture was a slip down in the aged group and violence in the
control group (p<0.05). There were no differences in associated symptoms. Extraocular muscle herniation was
the only statistically different computed tomography findings. In associated facial bone fractures, the most
common fractures were the zygoma in the aged group and the nasal bone in the control group (p<0.05).
Conclusion: In patients 60 years of age or older, the most common cause of blow-out fracture was a slip
down, and the most common associated facial bone fracture was a zygomatic fracture.

영어초록

Purpose: The purpose of this study was to evaluate the causes of blow-out fractures, the computed tomography
findings, and the associated facial bone fractures in aged patients.
Methods: This study was performed by conducting a chart review. From January 2004 to December 2007,
the patients who visited the emergency room of Asan Medical Center and were diagnosed as having a blow-out
fracture were included in the study population. Patients 60 years of age or older were grouped as the aged
group while patients younger than 60 years of age were grouped as the control group.
Results: Between the aged group and the control group, there was a difference in the causes of blow-out
fractures. The most common cause of blow-out fracture was a slip down in the aged group and violence in the
control group (p<0.05). There were no differences in associated symptoms. Extraocular muscle herniation was
the only statistically different computed tomography findings. In associated facial bone fractures, the most
common fractures were the zygoma in the aged group and the nasal bone in the control group (p<0.05).
Conclusion: In patients 60 years of age or older, the most common cause of blow-out fracture was a slip
down, and the most common associated facial bone fracture was a zygomatic fracture.

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