| Simultaneous Transconjunctival and Transantral Approach for Repair of Blowout Fracture by using Medpor Orbital Implant. |
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Sae Heun Baek, Min Soo Park, Tae Soo Lee |
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Department of Ophthalmology, College of Medicine, Korea University. |
| Transconjunctival Approach 와 Transantral Approach 를 병용하여 Medpor(R) 를 이용한 안와골절의 치료 |
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박민수(Min Soo Park),이태수(Tae Soo Lee),백세현(Sae Heun Baek) |
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| Abstract |
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Surgical approaches to blowout fracture have been made through a skin inci-sion in the lower eyelid placed just below the eyelashes[a subciliary pproach], a conjunctival approach, a transantral approach, or a combined approach. Authors repaired the orbital floor fracture through the transconjunctival and transantral approaches simultaneously in 4 patients confirmed orbital floor fracture on CT scan from April to September 1998. Transconjunctival approach could avoid ectropion, lower eyelid retraction and transantral endoscopic orbital floor exploration could allow precise determination of fracture size, location, and replacement of prolapsed tissue and placement of implant over the bony defect. So it was possible to repair with a minimal size of implant and could avoid the complications caused by a too large implant in the posteriorly located orbital floor fracture. |
| Key Words:
Blowout fracture;Endoscopy;Medpor;Transconjunctival and transantral approach |
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