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Journal of the Korean Society of Plastic and Reconstructive Surgeons 2002;29(2):77-82.
Published online March 1, 2002.
Orbital Wall Repair with Anterior Wall of the Maxillary Antrum.
Min Hyuk Lee, Keun Cheol Lee, Jung Min Park, Jeong Tae Kim, Seok Kwun Kim
Departments of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University, Pusan, Korea. sgkim1@daunet.donga.ac.kr
Generally, blow out fractures have been operated using commercial materials such as silicone sheet, titanium mesh plate and Medpor (porous polyethylene sheet). However, it is thought that the autogenous bone graft is better,in consideration of infection, foreign body sensation, protrusion of inserted materials, and displacement. We have operated blow out fractures with or without Medpor or mesh plate in pure blow out fractures and have repaired orbital wall defect with "anterior wall of maxillary antrum" in case of impure ones associated with maxillary fracture. From January 1997 to July 2001, 93 patients were operated using the artificial or autogenous material and 11 of them using maxillary antral wall. The fragment of anterior antral wall which had been previously fractured was trimmed with saw and burr and inserted over the defect. The follow-up period ranges from 3 months to 3 years, and the results were satisfactory without complications. The postoperative orbital CT scannig showed that the bone graft was well attached. In repairing orbital wall defect with antral wall, we obtained satisfactory results without complications such as infection, foreign body sensation, pain, protrusion displacement, depression and sinusitis.
Keywords: Blow out fracture; Orbital wall; Maxilla
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