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https://www.readbyqxmd.com/read/29419638/permanent-versus-bioresorbable-implants-in-orbital-floor-blowout-fractures
#1
Sophia Seen, Stephanie Ming Young, Shao Jin Teo, Stephanie S Lang, Shantha Amrith, Thiam-Chye Lim, Gangadhara Sundar
PURPOSE: To compare the outcomes of bioresorbable and permanent implants in the reconstruction of isolated orbital floor blowout fractures. METHODS: Retrospective series of all patients who had orbital floor fracture repair in a single tertiary trauma center from January 2005 to December 2014. The authors reviewed the case notes and CT scans of patients with orbital floor fracture repair with either bioresorbable or permanent implants. Main outcome measures were enophthalmos, diplopia, and ocular motility restriction 1...
February 6, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29410195/optic-disk-contractility-in-morning-glory-disk-anomaly
#2
Sadasivan K Samyukta, Syed Mohideen Abdul Khader, Neelam Pawar, Meenakshi Ravindran, Yeramala C Venu Gopal Reddy, Rengappa Ramakrishnan
Morning glory disk anomaly is a nonhereditary, congenital optic disk dysplasia characterized by conical excavation of the posterior fundus with a central glial tuft and radial retinal vessels. We report the case of a 4-year-old girl who presented with esotropia, enophthalmos, no light perception, and afferent pupillary defect in her left eye; fundus examination revealed morning glory disk anomaly. Ultrasound B-scan showed axial length increasing in the left eye on consensual light exposure. Magnetic resonance imaging/ angiogram of the brain and orbits were within normal limits except for globe elongation posteriorly in the left eye...
January 31, 2018: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29387309/correction-of-a-posttraumatic-orbital-deformity-using-three-dimensional-modeling-virtual-surgical-planning-with-computer-assisted-design-and-three-dimensional-printing-of-custom-implants
#3
Kristopher M Day, Paul M Phillips, Larry A Sargent
We describe a case of complex, posttraumatic skull and orbital deformities that were evaluated and treated with advanced computer technology, including virtual surgical planning, three-dimensional (3D) modeling, and printed patient custom implants (PCI) fabricated by 3D printing. A 50-year-old man presented to our craniofacial referral center 1 year after failed reduction of complex left orbital, zygomatic, and frontal bone fractures due to a motorcycle collision. The patient's chief complaint was debilitating diplopia in all fields of gaze...
March 2018: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/29380800/an-overlap-case-of-parry-romberg-syndrome-and-en-coup-de-sabre-with-striking-ocular-involvement-and-anti-double-stranded-dna-positivity
#4
Hatice Ataş, Müzeyyen Gönül, Aysun Gökçe, Mutlu Acar, Canan Gürdal
Parry-Romberg syndrome (PRS) may overlap localized scleroderma (morphea) lesions with linear depression (en coup de sabre [ECDS]). Overlap case with PRS and ECDS was presented. Enophthalmos, uveitis, ocular torticollis, keratic linear precipitates, and anti-double-stranded DNA positivity were identified. Subendothelial keratic precipitates detected by an in vivo laser scanning confocal microscopy were the first profiled in the literature. Patients must be evaluated and followed up carefully by their clinics to prevent misdiagnosis and unnecessary procedures such as surgery of ocular torticollis as muscular torticollis...
February 2018: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29369153/deep-orbital-sub-q-hyaluronic-acid-filler-injection-for-enophthalmic-sighted-eyes-in-parry-romberg-syndrome
#5
Ilan Feldman, Vladimir A Sheptulin, Yaroslav O Grusha, Raman Malhotra
PURPOSE: The authors present a consecutive series of deep orbital Sub-Q injections to treat enophthalmic sighted eyes in Parry-Romberg syndrome patients. METHODS: Retrospective, interventional case series in 2 centers. Data were collected on patient demographics, Parry-Romberg syndrome onset age, previous orbital and eyelid surgeries, diplopia, ocular movement restriction before and after the injection, number of injections, interval between injections, indication for any top-up or dissolution of filler, and any other complications...
January 23, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29369151/autologous-fat-graft-for-the-treatment-of-sighted-posttraumatic-enophthalmos-and-sunken-upper-eyelid
#6
Hui Chen, Qian Zhang, Qiu Qiu, Zhenglin Yang
PURPOSE: The treatment of enophthalmos and sunken upper eyelid is challenging. Although autologous fat graft has been widely used in breast augmentation, buttock contouring, and facial rejuvenation, its application in enophthalmos and sunken upper eyelid is not yet widely utilized. The clinical safety and value of autologous fat graft in sighted patients with enophthalmos and sunken upper eyelid are unclear. This study retrospectively analyzed the cosmetic results and safety of autologous fat graft in the correction of sighted traumatic enophthalmos and sunken upper eyelid...
January 23, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29333828/-congenital-horner-syndrome-case-report
#7
Romina B Vera Olivera, Loreley FernándezI, Ana P Arias, Diego Ballarino, Andrea Jara
Horner syndrome is characterized by the following triad of clinical signs: miosis, ptosis and facial anhidrosis. In addition, iris heterochromia, conjunctival injection, facial erythema, congestive nasal mucosa and apparent enophthalmos secondary to the reduction of the palpebral fissure can appear. It is caused by an interruption of the sympathetic pathway that extends from the hypothalamus to the orbit. Because there is no decussation, the signs are homolateral to the lesion. Traditionally, it is classified as congenital and acquired...
February 1, 2018: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/29329172/clinical-features-and-outcomes-of-post-traumatic-silent-sinus-syndrome
#8
Edward J Wladis, Robert C Kersten, M Reza Vagefi, Carlos Pinheiro-Neto, Roman Shinder, H Jane Kim
PURPOSE: To identify demographic features and clinical outcomes associated with post-traumatic silent sinus syndrome. METHODS: A retrospective review was carried out at 3 academic medical centers to identify all cases of post-traumatic silent sinus syndrome. Clinical features and management strategies were recorded. Postoperative outcomes were assessed, and statistical analyses were performed via a dedicated computerized software package. RESULTS: Twenty cases were identified (14 men and 6 women, mean age = 44...
January 10, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29319378/nonhealing-orbital-floor-fracture-in-a-pediatric-patient-a-unique-presentation-of-pseudo-silent-sinus-syndrome
#9
Siwei Zhou, Katherine Duncan, S Tonya Stefko
Silent sinus syndrome was first described as spontaneous enophthalmos and hypoglobus associated with subclinical maxillary sinusitis without prior trauma or surgery. This clinical entity has later been described after trauma in which damage to the ostiomeatal complex leads to atelectasis of the maxillary sinus. We report a case of a 14-year-old boy who presented 4 years after sustaining a non-operative orbital floor fracture with enophthalmos and transient diplopia. Computed tomography (CT) demonstrated enlargement in size of the original orbital floor fracture and bilateral maxillary sinus disease...
January 10, 2018: Orbit
https://www.readbyqxmd.com/read/29317144/comparison-of-clinicoradiological-findings-between-patients-with-recovering-diplopia-and-those-with-residual-diplopia-after-surgery-for-pure-orbital-blowout-fracture
#10
Hye Na Jung, Sang-Il Suh, Hyung-Jin Kim, Inseon Ryoo
PURPOSE: Diplopia is a common symptom of blowout fracture (BOF), and can persist after proper surgical management. We compared clinicoradiological findings between patients with recovering diplopia and those with residual diplopia after surgery for orbital BOF. MATERIALS AND METHODS: We retrospectively evaluated the CT images of 170 patients with orbital BOF and preoperative diplopia. We reviewed the following factors: sex, age, mechanism of injury, presence of diplopia before surgery, presence of enophthalmos before surgery, presence of an ocular motility abnormality before surgery, time interval between the trauma and surgery, fracture type, fracture size, volume of herniated orbital soft tissue, ratio of the volume of herniated orbital soft tissue to fracture size, number of points of contact between the extraocular muscle (EOM) and bony edge, EOM swelling, EOM swelling ratio, EOM displacement, EOM circling, EOM tenting, and EOM entrapment...
December 15, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29310374/horner-syndrome-as-a-postoperative-complication-after-minimally-invasive-video-assisted-thyroidectomy-a-case-report
#11
Xiaolei Hu, Xiaomei Zhang, Huaiyong Gan, Dajun Yu, Weihua Sun, Zhaoming Shi
RATIONALE: Horner syndrome is an unusual complication after thyroidectomy. PATIENT CONCERNS: We report a case of Horner syndrome in a 34-year-old female patient with Graves disease associated with papillary thyroid carcinoma who underwent left-side minimally invasive video-assisted thyroidectomy and neck dissection. DIAGNOSIS: Horner syndrome was diagnosed based on left myosis, eyelid ptosis, and mild enophthalmos, which developed in the patient on postoperative day 2...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29233702/endoscopic-endonasal-repair-with-polyethylene-implants-in-medial-orbital-wall-fractures-a-prospective-study-on-25-cases
#12
Giacomo Colletti, Alberto Maria Saibene, Lorenzo Giannini, Margherita Dessy, Carlotta Pipolo, Fabiana Allevi, Paolo Lozza, Giovanni Felisati, Federico Biglioli
The aim of the study was to assess the mid-term effectiveness and safety of an original technique consisting of reconstructing fractures of the medial wall of the orbit with porous polyethylene implants with an exclusive transnasal approach. Twenty-five patients were treated. Each patient underwent a pre-operative ophthalmologic evaluation and a CT scan. The surgery started with an anteroposterior ethmoidectomy of the fractured side; all the fractured bone fragments were removed and all usual landmarks of healthy bony margins were identified...
November 21, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29233510/patient-specific-puzzle-implant-preformed-with-3d-printed-rapid-prototype-model-for-combined-orbital-floor-and-medial-wall-fracture
#13
Young Chul Kim, Kyung Hyun Min, Jong Woo Choi, Kyung S Koh, Tae Suk Oh, Woo Shik Jeong
BACKGROUND: The management of combined orbital floor and medial wall fractures involving the inferomedial strut is challenging due to absence of stable cornerstone. In this article, we proposed surgical strategies using customized 3D puzzle implant preformed with Rapid Prototype (RP) skull model. METHODS: Retrospective review was done in 28 patients diagnosed with combined orbital floor and medial wall fracture. Using preoperative CT scans, original and mirror-imaged RP skull models for each patient were prepared and sterilized...
November 29, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29212584/horner-syndrome-in-2-pigs-sus-scrofa-after-vascular-grafting-of-the-carotid-artery-and-jugular-vein
#14
Gabrielle C Musk, Martyn King, Bulang He
The term Horner syndrome refers to the clinical presentation of oculosympathoparesis, comprising miosis, ptosis, and facial anhydrosis. To date, there are 2 reports of postoperative Horner syndrome in pigs. In this species the cervical sympathetic chain and cranial cervical sympathetic ganglion are consistently within the carotid artery sheath. This case study describes the sudden onset of Horner syndrome in 2 pigs, from a study cohort of 8, after the placement of a vascular graft between the carotid artery and external jugular vein...
December 1, 2017: Comparative Medicine
https://www.readbyqxmd.com/read/29195241/secondary-repair-of-posttraumatic-enophthalmos-and-extraocular-movement-disorders
#15
Kausar Ali, Kelly P Schultz, Douglas P Marx, Larry H Hollier, Edward P Buchanan
No abstract text is available yet for this article.
December 2017: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29124002/three-dimensional-reconstruction-of-late-post-traumatic-orbital-wall-defects-by-customized-implants-using-cad-cam-3d-stereolithographic-models-a-case-report
#16
Vignesh U, Divya Mehrotra, Dichen, Vaibhav Anand, Debraj Howlader
Aim: Purpose of this case report is to highlight the precision and accuracy obtained with patient specific implants for orbital reconstruction designed on the basis of volumetric analysis of orbital computed tomographic scan (CT) scans using virtual planning, computerised designing and manufacturing and stereolithographic models to correct late post-traumatic orbital deformities such as enophthalmos and diplopia. Material and methods: This case report describes a patient who visited our outpatient clinic for correction of enophthalmos and persistent diplopia in upward gaze, seven months post trauma...
September 2017: Journal of Oral Biology and Craniofacial Research
https://www.readbyqxmd.com/read/29121707/reconstruction-of-medial-orbital-wall-fractures-without-subperiosteal-dissection-the-push-out-technique
#17
Yong-Ha Kim, Jin Ho Lee, Youngsoo Park, Sung-Eun Kim, Kyu-Jin Chung, Jun-Ho Lee, Tae Gon Kim
BACKGROUND: Various surgical methods for repairing medial orbital wall fractures have been introduced. The conventional technique requires total separation of the displaced orbital bones from the orbital soft tissues. However, subperiosteal dissection around the fracture can cause additional damage. The aim of the present study is to introduce a method of reconstructing medial orbital wall fractures without subperiosteal dissection named the "push-out" technique. METHODS: Six patients with post-traumatic enophthalmos resulting from an old medial orbital wall fracture and 10 patients with an acute medial orbital wall fracture were included...
November 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29100818/quantitative-assessment-of-orbital-fractures-in-asian-patients-ct%C3%A2-measurement-of-orbital-volume
#18
Kensuke Sugiura, Harumoto Yamada, Takayuki Okumoto, Yoshikazu Inoue, Satoko Onishi
Enophthalmos is caused by an increase of orbital volume after blowout fracture and is one of the most critical complications of such fractures, but is often masked by swelling soon after injury. If surgery is performed after swelling resolves, it becomes more difficult to treat enophthalmos because of atrophy and fibrosis. Accordingly, it is important to estimate the severity of enophthalmos soon after injury. We developed a new criterion for determining whether orbital fractures are indicated for surgery in Asian patients using analysis of orbital volume...
October 3, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29090049/orbital-volume-augmentation-with-calcium-hydroxyapatite-filler-in-anophthalmic-enophthalmos
#19
Maryam Aletaha, Hossein Salour, Saied Yadegary, Yousef Fekri, Mehdi Tavakoli
PURPOSE: To report the long-term results of orbital volume augmentation using calcium hydroxyapatite filler injections in patients with anophthalmic sockets. METHODS: Twelve eligible patients with post-enucleation socket syndrome (PESS) and small orbital volumes were included in our study. In this investigation, 1.5 mL injectable calcium hydroxyapatite (Radiesse) was utilized in an off-label application under local anesthesia. We evaluated the effect of orbital volume augmentation for correction of enophthalmos...
October 2017: Journal of Ophthalmic & Vision Research
https://www.readbyqxmd.com/read/29072521/orbital-fat-regeneration-following-hormonal-treatment-of-metastatic-breast-carcinoma
#20
Ramzi M Alameddine, Audrey C Ko, Masashi Mimura, Barbara A Parker, Jonathan H Lin, Bobby S Korn, Don O Kikkawa
Enophthalmos in the setting of breast cancer metastatic to the orbit results primarily from the disease pathogenesis, or secondary to treatment effects. Orbital volume restoration and fat regeneration following endocrine treatment monotherapy has not been previously reported. A 76- year-old previously healthy female presented with progressive right enophthalmos secondary to metastatic lobular breast carcinoma. Treatment with an aromatase inhibitor (letrozole) resulted in tumor regression and orbital fat restoration with a corresponding improvement in orbital volume and enophthalmos on clinical exam...
October 26, 2017: Orbit
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