Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A CLINICAL STUDY ON NASO-ORBITO-ETHMOIDAL FRACTURES

비-안와-사골 복합골절에 관한 임상적 연구

  • Kim, Soo-Nam (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Lee, Dong-Keun (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Min, Seung-Ki (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Oh, Sung-Hwan (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Choi, Moon-Gi (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Park, Hwa-Kyu (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University)
  • 김수남 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 이동근 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 민승기 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 오승환 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 최문기 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 박화규 (원광대학교 치과대학 구강악안면외과학교실)
  • Received : 1999.06.19
  • Accepted : 1999.07.19
  • Published : 1999.09.30
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Abstract

This study was aimed at furnishing the data of Naso-orbito-ethmoidal fractures and aiding treatmenting Naso-orbito-ethmoidal fractures A 5-year review of Naso-orbito-ethmoidal fractures and concomitant injuries is presented. The patients were treated in the Dept. of Oral and Maxillofacial Surgery of Wankwang University Hospital from Jan. 1, 1993 to Dec. 31, 1997. The results were as followes: Male predominated over female by a ratio of 4.6 : 1. The most common reasons is traffic accident(88.2%). The elapsed time from injury to operation is average 9.2 days, and the mean admission days were 79 days and removal of plates were average 217.3 days. The most associated facial bone fractures is Zygomatico-Maxillary complex fracture(20%). Associated injuries were neurologic injury(29.4%), orthopedic injury(23.5%), opthalmologic injury(17.6%), body injury(5.8%), neuropsychologic injury(5.8%) and otolaryngologic injury(5.8%) in this order. The most injured teeth were upper and lower incisors. The intubation methods for surgery were orotracheal(29.57%), submental(29.5%), and nasotracheal technique(41%). Most patients had complications, that were post-traumatic telecanthus, nasal depression, scar formation. This results suggest that early diagnosis and treatment is prerequisits to satisfactory result. Aggressive management of NOE fracture with direct or bicoronal exposure with aid of CT is now an accepted norm.

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