No abstract available.
Blindness* ; General Surgery* ; Mydriasis* ; Orbit*

Endoscopy ; Foreign Bodies ; surgery ; Humans ; Maxillary Sinus ; surgery ; Orbit ; surgery

INTRODUCTION: The enlargement and deformation of the orbit give rise to a visible enophthalmos. As a consequence, a disturbance of eye motility together with double images is likely to occur. This study examined the degree of enophthalmos according to the extent of orbital wall fracture and volume of herniated orbital tissue in blowout fractures of the medial and inferior orbital wall. MATERIALS AND METHODS: This study was performed on patients diagnosed with medial and inferior orbital wall fractures at the Department of Oral and maxillofacial surgery, Chonbuk National University Hospital from 2007 to 2009. The patients' age, gender, etiology of fracture and degree of enophthalmos were investigated. The changes in the degree of enophthalomos, diplopia and ocular motility restriction after operation were examined. RESULTS: The degree of enophthalomos increased with increasing extent of orbital wall fracture and volume of herniated orbital tissue. CONCLUSION: Whether to perform the operation is decided after measuring the extent of the orbital wall fracture and volume of herniated orbital tissue using computed tomography (CT), time for the decision of operation can be shortened. This can cause a decrease in the complications of orbital wall fractures.
Diplopia ; Enophthalmos ; Eye ; Humans ; Orbit ; Surgery, Oral

Cysts ; Endoscopy ; Ethmoid Sinus ; surgery ; Humans ; Orbit

The anatomy of Korean eyelid is different from that of Caucasians. The cosmetic or reconstructive eyelid surgery is also different from that of Caucasians. Cosmetic eyelid surgery is one of the most popular forms of aesthetic surgery of the Korean face. For proper cosmetic eyelid surgery, plastic surgeon must to master the anatomy of eyelid of Koreans. The eyelids are complex specialized facial adaptations designed to protect, moisten, and clean the ocular surfaces. These components are modified by structures as skin, orbicularis oculi muscle, orbital septum and fat, levator palpebral superioris, Muller muscle, tarsal plate and conjunctiva. All of the complex structures of upper eyelid are morphologically and functionally connected with each other. And it is very important to understand these connections to perform the plastic surgery. However, it is difficult to find references an books that mentioned precise anatomy of Koreans. To get good result in cosmetic eyelid surgery in Koreans, we must have deep, precise knowledge of anatomy in Korean eyelid. We hope that this article offer to better understanding of complex eyelid anatomy and helpful to plastic surgeon for cosmetic eyelid surgery in Korean eyelid.
Conjunctiva ; Eyelids* ; Hope ; Orbit ; Skin ; Surgery, Plastic

Adult ; Female ; Hemangioma, Cavernous ; surgery ; Humans ; Nose ; surgery ; Orbit ; surgery ; Orbital Neoplasms ; surgery

To review retrospectively six cases of rhino-orbital related endoscopic surgeries aided by Fusion electromagnetic system,to explore the indications and clinical value of image guided technique in endonasal endoscopic surgery.Retrospective research methods were used.In this study,six cases of nasal endoscopic sinus surgery using Fusion electromagnetic system were analyzed,including 1 nasal penetrating foreign body,2 optic nerve decompressions,1 orbital apex hemangioma,1 sieve frontal sinus cyst,1 intraorbital mass biopsy.The preparation time of navigation system,the accuracy of intraoperative positioning and surgical coherence,intraoperative and postoperative complications of surgery were recorded.The average preparation time was(8.13 ± 1.858)min.In the navigation,the sinus ostium,orbital cardboard,skull base,optic nerve,internal carotid artery and other important structures can be accurately located in all patients,while registrations had been accurate within 1 mm.Six patients were successfully operated by image guided technique.There was no intracranial or intraorbital complications due to intraoperation error.Image guided technique allows for a truely microinvasive and accurate rhino-orbital related endoscopic surgeries.It requires less preoperative preparation time,has high surgical navigation accuracy,improves the surgical coherence and safety,and reduces the surgical complicationgs.However,as an auxiliary tool,it can not replace the surgeon's anatomical knowledge,surgical training and clinical experience.
Endoscopy ; methods ; Humans ; Nasal Cavity ; surgery ; Orbit ; surgery ; Retrospective Studies ; Skull Base ; surgery ; Surgery, Computer-Assisted

Humans ; Neck/surgery* ; Orbit/injuries* ; Thorax ; Wounds, Penetrating

Adult ; Endoscopy ; Eye Foreign Bodies ; surgery ; Humans ; Male ; Orbit

e double eyelid operation is one of the most common aesthetic operation in Korea. The non-incision method have advantage such as decreased swelling, faster recovery and so forth. However difficulties arise in case of excessively fatty upper eyelids. The authors have devised a method for use with the fatty upper eyelid. Through the partial incision, orbital fat was removed and the double fold was made with the continuous buried suture technique. This technique was performed in 215 cases in 462 total double eyelid operation in Metro Plastic Surgery Clinic from August 2000 to May 2002. We experienced satisfactory results in all cases except 1 case of asymmetry and 1 case of fold loss. The authors conclude that this method achieves a shorter operation time, less morbidity and better cosmetic results in fatty upper eyelids than the other incision methods.
Eyelids* ; Korea ; Orbit ; Surgery, Plastic ; Suture Techniques ; Sutures*