KMID : 0903220090100010019
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Journal of the Korean Cleft Palate-Craniofacial Association 2009 Volume.10 No. 1 p.19 ~ p.22
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The Usability of Infraorbital Approach on the Patients with Orbito-Zygomatic Fracture
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Yoon Chi-Sun
Kim Chong-Whan
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Abstract
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Purpose: There are various approaches for open reduction surgery for orbitozygomatic fractures. After the incisions are performed, patients might have various complications. In this point of view, we conducted a retrospective study of the usability of infraorbital incision on elderly patients, generally more vulnerable to scleral show and ectropion.
Methods: In this study, 20 patients who are relatively more vulnerable to scleral show and ectropion through snap-back test having infraorbital incision were reviewed. We monitored the duration of the surgery, and complications resulted from the incision. We evaluated the scars with the researcher¡¯s observations and with the patient¡¯s level of satisfaction on a scale of 1 to 5.
Results: On average, 5 minutes was spent between the skin incision and the fracture exposure. No case of scleral show and ectropion occurred. One year follow-up observation revealed 4 cases of visible scars, 9 cases of barely visible scars, and 7 cases of invisible scars. The subjective satisfaction level of the patients¡¯ scar is an average of 4.0.
Conclusion: Infraorbital incision has many advantages. First, it can reduce the complications such as scleral show and ectropion. Second, it can shorten the operation time. Third, it can diminish incision-related scars.
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KEYWORD
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Infraorbital incision, Snap-back test, Scleral show and ectropion
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