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KMID : 0900220190260020065
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대한비과학회지
2019 Volume.26 No. 2 p.65 ~ p.74
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Management of Orbital Blowout Fractures: ENT Surgeon’s Perspective
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Shim Woo-Sub
Jung Han-Jin
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Abstract
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Orbital blowout fracture is a common result of facial trauma and is observed more frequently now than in the past as a result ofintroduction of computed tomography and increased incidence of high-energy impact injuries. Because orbital fracture maybe associated with prolapse of the orbital contents into the paranasal sinuses, which results in sequelae such as diplopia andenophthalmos, proper diagnosis and timing of repair are crucial. However, clinical decision-making in the management of patientswith orbital blowout fractures is challenging, and various aspects of orbital fracture management are uncertain. Numerousapproaches have been used for reduction of blowout fracture. Controversies exist regarding indications for surgery, timing ofsurgery, and optimal reconstruction material. Recently, with expanding use of and indications for endoscopy in orbital blowoutfracture surgery, otolaryngologists participate more often in facial trauma surgery, including blowout fracture. In this review, severalcontroversial issues of surgical indication, surgical timing, method of approach, and choice of reconstruction material arediscussed from the perspective of otolaryngology surgeons.
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KEYWORD
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Trauma, Orbital fracture, Orbital blowout fracture, Enophthalmos, Diplopia
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