|
KMID : 0390320070170020150
|
|
Chungbuk Medical Journal
2007 Volume.17 No. 2 p.150 ~ p.155
|
|
|
The Merite of Mannitol in Pepair of Prbital Blowout Fracture
|
|
Lee Eui-Tai
Choi Mi-Young
|
|
|
Abstract
|
|
|
Purpose: One of the main concerns in orbital blowout fracture repair is a narrow field of vision. It is due to deep location of the fracture, extent of the involved area, and soft tissue edema. Especially, swelling of the orbital contents progresses as operation goes on. The authors adopt mannitol to control intraoperative edema and intraorbital pressure for wider visual field during operation and fewer complications.
Materials and Methods: From 2004 to 2007, twenty-eight patients with pure primary orbital blowout fracture (mean age 38.9) underwent repair of the fracture with intraoperative use of mannitol. Most patients were available for follow-up at least 2 months.
Results: Preoperative ophthalmologic evaluation showed diplopia in 8 patients and enophthalmos in 6 patients. One patient with combined medial and inferior wall fracture revealed persistent diplopia on extreme gaze at the last follow-up, but out of cardinal fields of vision. One patient with persistent postoperative enophthalmos needed a secondary operation without permanent sequalae. Otherwise, there were no immediate or delayed recipient complications of hemorrhage, infection, extrusion, displacement and foreign body reaction of bone graft or implant. There were neither major complications nor minor side effects related to mannitol.
Conclusion: For 4 years, mannitol proved itself an effective, reliable, and safe drug in repair of orbital blowout fractures. With its fast onset and short duration of action, mannitol is one of the best methods to obtain wider and fine surgical field in complex three dimensional blow out fracture defect especially in extensive blowout fracture cases.
|
|
|
KEYWORD
|
|
|
Blowout fracture, Mannitol
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|
|