Item type |
☆紀要論文 / Departmental Bulletin Paper(1) |
公開日 |
2010-06-09 |
タイトル |
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タイトル |
Surgical approach to medial wall fracture of the orbit by osteotomy |
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言語 |
en |
著者 |
Asamura, Shinichi
Matsunaga, Kazuhide
Mochizuki, Yuichi
Wada, Yoshitaka
Isogai, Noritaka
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言語 |
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言語 |
eng |
キーワード |
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主題 |
Medial wall fracture of the orbit, Osteotomy, maxillary and lacrimal bones |
資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
departmental bulletin paper |
著者所属(翻訳) |
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値 |
Department of Plastic and Reconstructive Surgery, Kinki University School of Medicine |
著者所属(翻訳) |
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値 |
Department of Plastic and Reconstructive Surgery, Kinki University School of Medicine |
著者所属(翻訳) |
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値 |
Department of Plastic and Reconstructive Surgery, Kinki University School of Medicine |
著者所属(翻訳) |
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値 |
Department of Plastic and Reconstructive Surgery, Kinki University School of Medicine |
著者所属(翻訳) |
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値 |
Department of Plastic and Reconstructive Surgery, Kinki University School of Medicine |
版 |
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出版タイプ |
NA |
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出版タイプResource |
http://purl.org/coar/version/c_be7fb7dd8ff6fe43 |
出版者 名前 |
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出版者 |
The Kinki University Medical Association |
書誌情報 |
en : ACTA MEDICA KINKI UNIVERSITY
巻 34,
号 1,
p. 35-39,
発行日 2009-06-01
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ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
03866092 |
抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
Background: As endoscopic endonasal sinus surgery is now commonly applied, low-invasive surgery via an intranasal approach has become actively employed for the treatment of medial wall fracture of the orbit, but various issues remain unresolved, such as surgical indications and methods. To reliably reduce and reconstruct fractured regions, we developed an osteotomic procedure in which the maxillary and lacrimal bones are cut en bloc. Methods: In establishing the osteotomy line, the upper end was set to a site lower than the frontomaxillary suture, the lower end to the fossa of the lacrimal sac, the anterior end to a site more posterior than the nasomaxillary suture, and the posterior end to a site posterior to the ridge of the lacrimal sac. Results: Eleven patients with orbital medial wall fracture underwent osteotomy of the maxillary and lacrimal bones en bloc. The maxillary and lacrimal bones were excised en bloc, through which the entire fractured region was exposed. Since the fractured region could be observed well, bone transplantation to the defective region was straigtforward, and effective reduction of the orbital content and reconstruction of the defective bone region could be performed. Conclusion: A sufficient visual field was secured by osteotomy, enabling us to atraumatically perform surgery. This may be a useful treatment method for cases with marked deviation of the bulbar content and incarceration of the medial rectus muscle. |
フォーマット |
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内容記述タイプ |
Other |
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内容記述 |
application/pdf |