CAJ | 학술논문

目的探讨高密度多孔聚乙烯(Medpor)及镶嵌钛网高密度多孔聚乙烯(Medpor Titan)外科种植体在复合性眼眶骨折整复手术中的应中应用的效果.方法回顾性分析10例(10眼)Medpor或Medpor Titan外科种植体植入修复复合性眼眶骨折手术.观察眼球内陷、眼球位置及眼球运动等变化.结果术后随访12个月,随访期间未发现外科种植体的脱出、排斥、感染或其他不良反应.术前患眼凹陷平均(3.00±0.75)mm,眼球下移平均(2.10±0.88) mm,6例存在眼球运动障碍.术后3例残存眼球凹陷1 mm,7例眼球凹陷矫正;8例眼球下移完全矫正,2例残留眼球下移1 mm;5例眼球运动障碍得以矫正,1例外展功能受限;8例复视消失,1例残存下方垂直复视,1例残存患眼外侧水平复视.结论应用Medpor及Medpor Titan外科种植体治疗复合性眼眶骨折,可有效恢复眼眶容积,矫正眼球内陷等并发症.
목적 탐토고밀도다공취을희(Medpor)급양감태망고밀도다공취을희(Medpor Titan)외과충식체재복합성안광골절정복수술중적응중응용적효과.방법 회고성분석10례(10안)Medpor혹Medpor Titan외과충식체식입수복복합성안광골절수술.관찰안구내함、안구위치급안구운동등변화.결과 술후수방12개월,수방기간미발현외과충식체적탈출、배척、감염혹기타불량반응.술전환안요함평균(3.00±0.75)mm,안구하이평균(2.10±0.88) mm,6례존재안구운동장애.술후3례잔존안구요함1 mm,7례안구요함교정;8례안구하이완전교정,2례잔류안구하이1 mm;5례안구운동장애득이교정,1예외전공능수한;8례복시소실,1례잔존하방수직복시,1례잔존환안외측수평복시.결론 응용Medpor급Medpor Titan외과충식체치료복합성안광골절,가유효회복안광용적,교정안구내함등병발증.
Objective To investigate the clinical application of Medpor and Medpor Titan surgical implant for traumatic complex orbital fracture reconstruction.Methods Retrospective charts were reviewed of 10 eyes of 10 patients with complex orbital fractures who underwent the reconstructive surgery by using Medpor or Medpor Titan surgical implant.Evaluation of enophthalmos,the position and the movement of the affected eyeball was recorded for analysis.Results All patients were followed up for 12 months.There was no extrusion,rejection,infection or other complications of Medpor and Medpor Titan surgical implant during follow-up.The average enophthalmos was (3.00 ± 0.75) mm and the position of the affected eyeball was (2.10 ±0.88)mm bellow the contralateral side preoperatively.6 patients suffered from eyeball movement restriction.During the postoperative follow-up,enophthalmos was completely corrected in 7 patients,while the other 3 patients had residual 1 mm enophthalmos.The affected eyeballs were repositioned in 8 cases and 2 cases had residual 1 mm lower position.Eye movement was satisfactory in all directions in 5 cases,1 case with the limitation of abduction.Diplopia disappeared in 8 cases,1 case with vertical diplopia and 1 case had horizontal diplopia.Conclusion Medpor or Medpor Titan surgical implant can be used to reconstuct traumatic complex orbital fractures in order to improve the orbital volume and to correct enoththalmos effectively.