• Title/Summary/Keyword: 메리놀

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A Case of Transorbital Orbital Floor Fracture Repair Assisted Endonasal Balloon Catheter (비내 풍선 카테터 유도하 경안와 접근법을 이용한 안와 하벽 골절 정복 1예)

  • Kim, Min Joon;Kim, Jung Suk;Park, Tae Jung;Jung, Tae Young
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.276-280
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    • 2018

  • It is important to choose which approaches should be used to correct the fracture if the operation is indication for surgery in patients with orbital floor fracture. Transorbital, transantral, and endonasal approaches are methods for correcting the orbital floor fracture. The approach needs to be considered the location of the fracture, the degree, the severity of the fracture, the least remaining patient's disability, and preference of the surgeon. We report a case of orbital floor fracture using transorbital approach and endonasal catheter ballooning to resolve the limitations of transorbital approach alone.

Pediatric Orbital Blowout Fracture : A Retrospective Study of 116 Patients (소아 안와골절 환자의 임상적 고찰)

  • Kim, Jung Suk;Bae, Gyo Han;Park, Tai Jung;Jung, Tae Young
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.198-203
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    • 2018

  • Background and Objectives : Pediatric orbital blowout fractures occur in discreet patterns, in reference to the characteristic developmental anatomy of the facial skeleton at the time of injury. The purpose of this study was to investigate the clinical characteristics, ocular symptom, fracture type and postoperative results of orbital blowout fractures in the pediatric population. Material and Methods : A retrospective study was conducted from January 2009 to June 2015 in 116 patients with orbital floor fractures ; all less than 18 years old. Patients were divided into 3 groups by age : 0 to 6, 7 to 12, and 13 to 18 years of age. The cause of fracture, fracture site and type, preoperative and postoperative ocular symptoms, timing of surgery were reviewed from their records. Results : Medial wall fractures were the most common site in the 0 to 6 years old group, and floor fractures were the most common site in other age groups. However, floor fracture was the most common site of the need for surgery in all age groups. Trapdoor type of fractures occurred more frequently than open door type of fractures in all age groups. Preoperative symptoms did not differ among the 3 age groups. In case of need surgery, frequency of preoperative ocular symptoms increased with age. However, as age group was young, rate of residual postoperative ocular symptoms were increased. Conclusions : The younger patients are more to have trapdoor type fracture and residual postoperative ocular symptom. Earlier surgical intervention more needed for children with entrapment results.