Blow-out Fracture, Cyanoacrylate Fixation and Clinical Aspects of 27 Patients.

Cho, Nam Chun

Original Article

Journal of the Korean Ophthalmological Society 1991;32(7):514-519.
Published online July 1, 1991.

Blow-out Fracture, Cyanoacrylate Fixation and Clinical Aspects of 27 Patients.

Nam Chun Cho

Department of Ophthalmology, College of Medicine, Chonbuk National University, Chonju, Korea.

Blow - out Fracture , Cyanoacrylate 를 이용한 고정 및 27 예에 대한 임상적 고찰

조남천(Nam Chun Cho)

Abstract

Blow-out fracture is a fracture of the weadk bony orbital floor resulting from the transmission of intraorbital pressure in a blunt trauma. In this report, I analyse the clinical aspects of 27 patients who were treated with cyanoacrylate during open reduction. The leading cause was a traffic accident(17 patients, 63%). In addutuib. the inferior wall of the orbit was the most frequent site of fracture(22 patients, 81%). The interval between the onset of injury and the operatuib averaged 7.3days. The most common clinical sign helpful in diagnosing the blow-out fracture is the lid sign-ecchymosis and edema(26 patients, 96%); but, diplopia, positive forced duction test and enophthalmos were found in under 30% of the cases. The operations were done by infraciliary approach in most cases, and a silastic sheet was firmly attached to the site of fracture with cyanoacrylate. In all cases examined, there were no significant complications. In conclusion, I am convinced that the use of cyanoacrylate during the placement of silastic sheet for the treatment of blow-out fracture makes a firm adhesion, prevents reherniation of tissue and protrusion of the implant and also reduces complications.

Key Words: Blow-out fracture;Cyanoacrylate