Journal of Trauma and Injury

  • 제22권1호
  • /
  • Pages.44-50
  • /
  • 2009
  • /
  • 2799-4317(pISSN)
  • /
  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
권호 표지

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

  • 서동우 (울산대학교 의과대학 서울아산병원 응급의학과) ;
  • 손창환 (울산대학교 의과대학 서울아산병원 응급의학과) ;
  • 정상구 (울산대학교 의과대학 서울아산병원 응급의학과) ;
  • 안산 (울산대학교 의과대학 서울아산병원 응급의학과) ;
  • 김원영 (울산대학교 의과대학 서울아산병원 응급의학과) ;
  • 김원 (울산대학교 의과대학 서울아산병원 응급의학과)
  • Seo, Dong Woo (Department of Emergency Medicine, University of Ulsan, College of Medicine, Asan Medical Center) ;
  • Sohn, Chang Hwan (Department of Emergency Medicine, University of Ulsan, College of Medicine, Asan Medical Center) ;
  • Jung, Sang Ku (Department of Emergency Medicine, University of Ulsan, College of Medicine, Asan Medical Center) ;
  • Ahn, Shin (Department of Emergency Medicine, University of Ulsan, College of Medicine, Asan Medical Center) ;
  • Kim, Won Young (Department of Emergency Medicine, University of Ulsan, College of Medicine, Asan Medical Center) ;
  • Kim, Won (Department of Emergency Medicine, University of Ulsan, College of Medicine, Asan Medical Center)
  • 투고 : 2009.04.27
  • 심사 : 2009.06.07
  • 발행 : 2009.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

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.

키워드

참고문헌

  1. Brady S, McMann M, Mazzoli R, Bushley D, Ainbinder D, Carroll R. The diagnosis and management of orbital blowout fractures: update 2001. Am J Emerg Med 2001;19:147-54 https://doi.org/10.1053/ajem.2001.21315
  2. Oum B, Lee J, Han Y. Clinical features of ocular trauma in emergency department. Korean J Ophthalmol 2004;18:70-8 https://doi.org/10.3341/kjo.2004.18.1.70
  3. Key S, Ryba F, Holmes S, Manisali M. Orbital emphysema-the need for surgical intervention. J Craniomaxillofac Surg 2008;36:473-6 https://doi.org/10.1016/j.jcms.2008.04.004
  4. Cole P, Boyd V, Banerji S, Hollier LJ. Comprehensive management of orbital fractures. Plast Reconstr Surg 2007;120:57S-63S
  5. Losee J, Afifi A, Jiang S, Smith D, Chao M, Vecchione L, et al. Pediatric orbital fractures: classification, management, and early follow-up. Plast Reconstr Surg 2008;122:886-97 https://doi.org/10.1097/PRS.0b013e3181811e48
  6. Chapman V, Fenton L, Gao D, Strain J. Facial fractures in children: unique patterns of injury observed by computed tomography. J Comput Assist Tomogr 2009;33:70-2 https://doi.org/10.1097/RCT.0b013e318169bfdc
  7. al-Qurainy I, Stassen L, Dutton G, Moos K, el-Attar A. The characteristics of midfacial fractures and the association with ocular injury: a prospective study. Br J Oral Maxillofac Surg 1991;29:291-301 https://doi.org/10.1016/0266-4356(91)90114-K
  8. Baek SH kY, Lee TS. A clinical study of blowout fracture. J Kor Ophthalmol Soc 1993;34:1194-8
  9. Yang HW BJ, Lee HC. The postoperative recovery of ocular motility in pediatric blow-out fracture. J Korean ophthalmol Soc 2003;44:259-64
  10. Baek S, Lee E. Clinical analysis of internal orbital fractures in children. Korean J Ophthalmol 2003;17:44-9
  11. Koltai P, Amjad I, Meyer D, Feustel P. Orbital fractures in children. Arch Otolaryngol Head Neck Surg 1995;121:1375-9 https://doi.org/10.1001/archotol.1995.01890120033006
  12. Fujino T. Experimental 'blowout' fracture of the orbit. Plast Reconstr Surg 1974;54:81-2 https://doi.org/10.1097/00006534-197407000-00010
  13. Smith B, Lisman R. Blowout fracture of the orbit. Am J Ophthalmol 1981;92:592-3
  14. Miyaguchi M, Ishida M, Hori T, Tamaki H, Matsunaga T. Blow-out fractures. Rhinology 1983;21:315-9
  15. SMITH B, REGAN WJ. Blow-out fracture of the orbit; mechanism and correction of internal orbital fracture. Am J Ophthalmol 1957;44:733-9
  16. Greenwald HJ, Keeney A, Shannon G. A review of 128 patients with orbital fractures. Am J Ophthalmol 1974;78:655-64
  17. Bansagi Z, Meyer D. Internal orbital fractures in the pediatric age group: characterization and management. Ophthalmology 2000;107:829-36 https://doi.org/10.1016/S0161-6420(00)00015-4
  18. Hammerschlag S, Hughes S, O'Reilly G, Naheedy M, Rumbaugh C. Blow-out fractures of the orbit: a comparison of computed tomography and conventional radiography with anatomical correlation. Radiology 1982;143:487-92
  19. Fischbein FI, Lesko WS. Blowout fracture of the medial orbital wall. Arch Ophthalmol 1969;81:162-3 https://doi.org/10.1001/archopht.1969.00990010164004
  20. Park S, Lee H. Orbital blow-out fracture: CT findings and clinical significance. Journal of the Korean Society of Traumatology 2001;14:74-8
  21. Grove AJ, Tadmor R, New P, momose K. Orbital fracture evaluation by coronal computed tomography. Am J Ophthalmol 1978;85:679-85