J Korean Assoc Maxillofac Plast Reconstr Surg.
2002 May;24(3):257-265.
Case Reports On The Surgical Approach Of The Orbital Bone Fracture
- Affiliations
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- 1Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University, Korea. omsmin@wonkwang.ac.kr
- 2Wonkwang Dental Research Institute, Korea.
Abstract
- The Orbital fracture which is often combined with midface fracture can cause decreased visual acuity, limitation of eyeball movement, diplopia, enophthalmos, etc. Traumatic orbital fracture causes change of orbital volume, results in diplopia and enophthalmos thus, accurate repositioning of displaced bone and reconstruction of orbital defect with autogenous materials(cranial, rib, iliac bone, cartilage and fascia lata) or alloplastic materials (gelatin film, polyglactin mesh, methylmethacrylate, Teflon, silicone, Supermid, hydroxyapatite and metal). The key point of reconstruction of orbit is accurate repositioning of displaced orbital floor, lateral, medial orbital wall and sufficient bone graft in anatomical defect. As this cases, we obtained good results through transconjunctival and coronal approach who were required orbital reconstruction. Also, we accurately diagnosed orbital fracture with C.T., 3D model and good result for orbital reconstruction with sufficient parietal block bone graft during average 16.8 months follow-up.
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