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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Kyu Nam (Department of Plastic and Reconstructive Surgery, Konyang University Hospital, College of Medicine) Kim, Hoon (Department of Plastic and Reconstructive Surgery, Konyang University Hospital, College of Medicine)
저널정보
국제컴퓨터가상수술학회 Journal of International Society for Simulation Surgery Journal of International Society for Simulation Surgery 제3권 제2호
발행연도
2016.1
수록면
80 - 83 (4page)

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A 37-year-old male was assaulted and complained of severe periorbital swelling. Physical examination revealed that there were limitation of eyeball movement on upper gaze, diplopia, and hypoesthesia on the infraorbital nerve innervating region. Three-dimensional (3D) computed tomography (CT) of facial bone exhibited the fracture of orbital floor accompanying the significant amount of orbital contents' herniation extending to the far posterior part. To recover the orbital volume and restore orbital floor without threatening the optic nerve, preoperative simplified simulation was applied. The posterior margin of the fractured orbit was delineated with simulation technique using cross-linkage between the coronal and sagittal sections based on the referential axial view of the CT scans. Dissection, reduction of orbital contents, and insertion of the absorbable mesh plate molded after the prefabricated template by the simulation technique was performed. Extensive orbital floor defect was successfully reconstructed and there were no serious complications. The purpose of this report is to emphasize the necessity of preoperative simulation in case of restoring the extensive orbital floor defect.

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