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논문검색

학회지 > 논문검색
논문 검색
"Se Hwee Hwang, M.D., Hee Youn Choi, M.D. Departmet of plastic and Reconstructive Surgery School of Medicine, Hanyang University "
"CORRECTION OF EXOPHTHALMOS IN ORIENTALS AND LONGERM FOLLOW-UP "
J Korean Soc Aesth Surg 1996 (Sep) 002(02) 13-23
Exophthalmos, Orbital decompression
Ksaps002-01-02.pdf Ksaps002-01-02.pdf
" Orbital decompression in exophthalmos has been tried for more than 100 years but there was no definite procedure falling to achieve the desired result, and yet these operations have not gained broad acceptance. 
 Basic principles in orbital decompression were the concept of the axis of the eyeball, procedure without cahnge of visual axis as possibel and the preservation of continuity of paranasal sinus mucosa. The axis of the golbe extends from the lateral orbital wall to the lamina papyracea and the position of the globe was affected by the volume change behind the golbal axis. Unidirectional orbital decompression changes the visual axis and the patient suffers from the diplopia. Discontinuity of paranasal sinus mucosa has chances of postoperative infection or extraocular muscle dysfunction.
 So we corrected exopthalmos as follows:
 Blow out fracture of the medial wall and orbital floor was done with blunt osteotome without tearing of maxillary and ethmoid sinus mucosa.
Lateral wall halving osteotomy and valgus pivoting of the posterior portion of the lateral orbital wall were done without increase in the bitemporal or bimlar width.
The orbital fat was removed behind the golbal axis mainly in uper half of the orbit, which could take effect of the robital roof decompression.
 The combination of each method enabled to decompress in all direction and preserve the orginal visual axis. Total reducing effects of exophtalmos by operation wer resulted form the expanded capccity of the bony orbit and the removed amount of orbital soft tissues. We evaluatied the result with exophthalmometer, global axis to cornea distance and orbital volume befor and after operation.
"
황세휘, 최희윤, 류재만
한양대학교 의과대학 성형외과학교실
동양인 안구 돌출증의 치료 및 추적 관찰
1996 (Sep) 002(02) 13-23