Effectiveness of the ultrasonography in the evaluation following orbit wall reconstruction

안와벽 재건술 시행 후 평가방법으로서 초음파의 효용성

  • Kim, Chang Yun (Chosun University College of Medicine Department of Plastic and Reconstructive Surgery) ;
  • Yang, Jeong Yeol (Chosun University College of Medicine Department of Plastic and Reconstructive Surgery) ;
  • Cheon, Ji Seon (Chosun University College of Medicine Department of Plastic and Reconstructive Surgery) ;
  • Moon, Jae won (Chosun University College of Medicine Department of Plastic and Reconstructive Surgery)
  • 김창윤 (조선대학교 의과대학 성형외과학교실) ;
  • 양정열 (조선대학교 의과대학 성형외과학교실) ;
  • 천지선 (조선대학교 의과대학 성형외과학교실) ;
  • 문재원 (조선대학교 의과대학 성형외과학교실)
  • Published : 2009.07.15

Abstract

Purpose: Blow out fracture resulting from facial trauma is of high frequency among facial bone fractures, and can cause severe complications. So, proper management and close observation after operation are needed. So far, Computed tomography has been the best choice in the evalution following orbit wall reconstruction. However, cost - effectiveness, accessibility to patients and hazard of radiation exposure of computed tomography require supplementary measure for the evaluation following orbit wall reconstruction. This study was performed to describe the effectiveness of ultrasonography in the evalution following orbit wall reconstruction. Methods: A retrospective study was performed on 40 patients who underwent orbit wall reconstruction from June, 2008 to July, 2008. The patients' ages ranged from 13 to 65 years (mean 27.5 years), and this group was compsoed of 27 male and 13 female patients. The follow up period ranged from 2 weeks to 28 weeks (mean 11weeks). Preoperatively, all fractures were diagnosed using computed tomography. Ultrasonography for all cases, and computed tomography for 2 cases were performed for evaluation following orbit wall reconstruction. Results: Reduction of herniated orbital soft tissue and orbit implant was identified by using ultrasonography in 38 cases out of 40 cases. In other cases which we could not identify the orbit implant, computed tomography was performed. Con clusion: Compared to computed tomography, ultrasonography is simple, inexpensive and convenient method. Ultrasonography can be used as supplementary measure to computed tomography in the evaluation following orbit wall reconstruction for elective patients.

Keywords

References

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