Reconstruction of Isolated Medial Orbital Wall Fracture Using a Transcaruncular Approach
Journal of the Korean Ophthalmological Society
;
: 1-7, 2009.
Article
in Korean
| WPRIM
| ID: wpr-29224
ABSTRACT
PURPOSE:
We present our results in the reconstruction of medial orbital wall fractures using a transcaruncular approach.METHODS:
Forty-five patients with isolated medial orbital wall fractures underwent reconstruction by transcaruncular approach in our clinic between May 2003 and October 2007, and were followed up for 6 months or more.RESULTS:
Thirty-three males and 12 females were included in this study, with a mean age of 34.9 years. The most common indication for reconstruction were large sized fractures more than 50%. Operations were performed at a mean 11.9 days after trauma. Among 18 patients who had diplopia before the operation, 16 (89%) patients had symptom relief or improvement, and in the 2 patients where diplopia persisted, it did not in primary and down gaze and offered no difficulties in daily activities. Among 34 patients who had enophthalmos before the operation, most (n=30) of the patients had minimal enophthalmos not more than 2 mm, 4 patients had enophthalmos that exceeded 2 mm.CONCLUSIONS:
Transcaruncular approach in reconstruction of isolated medial orbital wall fracture shows more satisfying functional and cosmetic results and can be preferred to isolated medial orbital wall fracture.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orbit
/
Enophthalmos
/
Cosmetics
/
Diplopia
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2009
Type:
Article
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