Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Effective Reconstruction of Extensive Orbital Floor Fractures Using Rapid Prototyping Model

신속 조형 모델을 이용한 안와바닥 골절 정복술

  • Kim, Hye-Young (Department of Plastic Surgery, College of Medicine, Catholic University of Korea) ;
  • Oh, Deuk-Young (Department of Plastic Surgery, College of Medicine, Catholic University of Korea) ;
  • Lee, Woo-Sung (Department of Plastic Surgery, College of Medicine, Catholic University of Korea) ;
  • Moon, Suk-Ho (Department of Plastic Surgery, College of Medicine, Catholic University of Korea) ;
  • Seo, Je-Won (Department of Plastic Surgery, College of Medicine, Catholic University of Korea) ;
  • Lee, Jung-Ho (Department of Plastic Surgery, College of Medicine, Catholic University of Korea) ;
  • Rhie, Jong-Won (Department of Plastic Surgery, College of Medicine, Catholic University of Korea) ;
  • Ahn, Sang-Tae (Department of Plastic Surgery, College of Medicine, Catholic University of Korea)
  • 김혜영 (가톨릭대학교 의과대학 성형외과교실) ;
  • 오득영 (가톨릭대학교 의과대학 성형외과교실) ;
  • 이우성 (가톨릭대학교 의과대학 성형외과교실) ;
  • 문석호 (가톨릭대학교 의과대학 성형외과교실) ;
  • 서제원 (가톨릭대학교 의과대학 성형외과교실) ;
  • 이중호 (가톨릭대학교 의과대학 성형외과교실) ;
  • 이종원 (가톨릭대학교 의과대학 성형외과교실) ;
  • 안상태 (가톨릭대학교 의과대학 성형외과교실)
  • Received : 2010.07.06
  • Accepted : 2010.08.10
  • Published : 2010.09.10
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Abstract

Purpose: Orbital bone is one of the most complex bones in the human body. When the patient has a fracture of the orbital bone, it is difficult for the surgeon to restore the fractured orbital bone to normal anatomic curvature because the orbital bone has complex curvature. We developed a rapid prototyping model based on a mirror image of the patient's 3D-CT (3 dimensional computed tomography) for accurate reduction of the fractured orbital wall. Methods: A total of 7 cases of large orbital wall fracture recieved absorbable plate prefabrication using rapid prototyping model during surgery and had the manufactured plate inserted in the fracture site. Results: There was no significant postoperative complication. One patient had persistent diplopia, but it was resolved completely after 5 weeks. Enophthalmos was improved in all patients. Conclusion: With long term follow-up, this new method of orbital wall reduction proved to be accurate, efficient and cost-effective, and we recommend this method for difficult large orbital wall fracture operations.

Keywords

References

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