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Enophthalmos

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https://www.readbyqxmd.com/read/29044092/isolated-nonpulsatile-enophthalmos-in-neurofibromatosis-an-uncommon-entity
#1
Swati Singh, Kaustubh Mulay, Vikas Mittal
Isolated enophthalmos is a rarely observed entity in neurofibromatosis (NF). A 12-year-old male presented with right lower eyelid fat prolapse and enophthalmos for the past 7 years. There was no history of antecedent trauma/surgery. Computed tomography of orbit revealed an ill-defined intraconal hyperdense lesion located between lateral and inferior rectus along with an enlarged inferior orbital fissure (IOF). Superior orbital fissure was minimally widened without prolapse of any intracranial contents. Excision biopsy along with repair of widened IOF was performed through inferior transconjunctival route...
October 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29040029/autologous-fat-transfer-with-seffi-superficial-enhanced-fluid-fat-injection-technique-in-periocular-reconstruction
#2
Benjamin Riesco, Cristina Abascal, Ana Duarte, Rocio Mariel Flores, Guillermina Rouaux, Raul Sampayo, Francesco Bernardini, Martin Devoto
PURPOSE: To evaluate the aesthetic and functional outcomes of autologous fat transfer using the SEFFI (superficial enhanced fluid fat injection) technique for reconstruction of the periocular area. METHODS: Autologous fat injections prepared with the 0.5 mL and 0.8 mL SEFFI technique were used in four patients for periocular rehabilitation. RESULTS: Case 1 (C1): A patient with left-sided progressive facial hemiatrophy underwent ipsilateral volumizing with 0...
October 17, 2017: Orbit
https://www.readbyqxmd.com/read/28983893/development-of-late-enophthalmos-in-pure-blowout-fractures-methodologic-issues-in-prediction-studies
#3
Siamak Sabour, Fariba Ghassemi
No abstract text is available yet for this article.
October 3, 2017: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/28958566/clinical-outcomes-for-minimally-invasive-primary-and-secondary-orbital-reconstruction-using-an-advanced-synergistic-combination-of-navigation-and-endoscopy
#4
Chien-Tzung Chen, Chun-Hao Pan, Chih-Hao Chen, Victor Bong-Han Shyu, John Chung-Han Wu, Gavin Chun-Wui Kang
BACKGROUND: Sequelae of inadequate orbital reconstruction include enophthalmos, hypoglobus, and diplopia. Accuracy of orbital reconstruction is largely subjective and especially difficult to achieve because of anatomic distortion in secondary or late reconstruction and in extensive injury. We combined computer navigation and endoscopy to perform accurate, aesthetic, and safe minimal-access primary and secondary orbital reconstruction. METHODS: From 2013 to 2014, 24 patients underwent unilateral primary and secondary or late minimally invasive orbital reconstruction with mainly Medpor and/or titanium mesh by navigation and endoscopic assistance through transantral, transconjunctival, or upper blepharoplasty approaches...
August 24, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28922241/a-shift-in-the-orbit-immediate-endoscopic-reconstruction-after-transnasal-orbital-tumors-resection
#5
Giacomo Colletti, Alberto M Saibene, Federico Pessina, Marco Duvina, Fabiana Allevi, Giovanni Felisati, Federico Biglioli
Endoscopic endonasal resection of orbital lesions is a safe and common approach. Nevertheless, medial orbital wall defects following the procedure are not routinely addressed, potentially leading to diplopia and enophthalmos. In this article, the authors propose a new technique for purely endoscopic endonasal reconstruction of orbital wall defects following endoscopic endonasal resection of orbital lesions.The patient, a 43-year-old male, suffering from right exophthalmos and diplopia due to a venous malformation of the right orbit underwent endoscopic endonasal resection of the mass...
September 15, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28892944/endoscopic-endonasal-approach-of-blow-out-fracture-reduction-a-novel-technique
#6
Vinod Felix, Narendrakumar Veerasigamani
Blunt trauma to orbit can lead to orbital blow out fracture. Computerized tomography of paranasal sinuses plays the main role in diagnosing it. Repairing the defect and restoring the orbital contents is a challenging task for the surgeon. Endoscopic endonasal approach in reduction of blow out fracture provides good cosmetic outcomes and grossly minimize surgical complications. We report a case of 18-year-old male presented with diplopia, restriction of eye movements and enophthalmos due to Road traffic accident...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28887879/orbital-floor-fracture-repair-the-endonasal-approach
#7
T Kuhnel, H Jagle, W Hosemann, R Weber, V Vielsmeier
To avoid the dangers associated with lower eyelid approaches to the orbital floor and to improve visualization, we propose an endoscopic procedure for orbital floor fracture reduction and osteosynthesis using endonasal access via the medial maxillary sinus wall. The technique of endoscopic, endonasal transantral surgery is described, together with a retrospective analysis of 17 patients who had undergone this surgical procedure in the Department of Otorhinolaryngology, University of Regensburg, between July 2013 and June 2016...
September 9, 2017: Rhinology
https://www.readbyqxmd.com/read/28857988/stability-of-orbital-floor-fracture-fixation-after-endoscope-assisted-balloon-placement
#8
Tsutomu Kashimura, Kazutaka Soejima, Yuji Kikuchi, Hiroaki Nakazawa
In recent years, endoscope-assisted balloon fixation using transantral and endonasal approaches has gained popularity as a minimally invasive treatment for orbital floor fractures. However, the optimal duration for balloon placement and the efficacy of the method have not been fully evaluated. The authors report their assessment of this method using postoperative and chronological measurements of the maxillary sinus volume.Fourteen patients with blowout fracture of the orbital floor who underwent reduction using endoscopic transantral and endonasal approaches followed by 6-week fixation with a balloon were evaluated...
October 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28834839/use-of-acellular-allogenic-dermal-matrix-megaderm-in-orbital-wall-reconstruction-a-comparison-with-absorbable-mesh-plate-and-porous-polyethylene
#9
Jiye Kim, Dae Hyun Lew, Tai Suk Roh, Won Jai Lee
The selection of materials for orbital wall reconstruction has been a matter of debate. This study aimed to evaluate the effectiveness of an acellular allogenic dermal matrix (ADM) as an orbital wall reconstruction material and to compare the results of orbital wall reconstruction with the ADM to those of reconstruction with the more widely used absorbable mesh plate and porous polyethylene. We retrospectively reviewed the clinical charts and computed tomography images of 73 patients who underwent orbital reconstruction at 1 institution between March 2013 and February 2014...
October 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28834836/prediction-of-late-enophthalmos-using-preoperative-orbital-volume-and-fracture-area-measurements-in-blowout-fracture
#10
Su Hyun Choi, Dong Hee Kang
Enophthalmos caused by orbital volume expansion is the traditional indication for blowout fracture operation, but it may not appear immediately after orbital trauma due to periorbital swelling. The purpose of this study was to investigate the correlations of the orbital volume ratio (OVR) and, orbital fracture area (OFA) with the late enophthalmos measurement in unilateral pure blowout fracture. Seventy-two patients who had experienced a blowout fracture were divided into 2 groups, the conservative treatment group (n = 40) and the operative treatment group (n = 32)...
October 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28834830/analysis-of-orbital-volume-measurements-following-reduction-and-internal-fixation-using-absorbable-mesh-plates-and-screws-for-patients-with-orbital-floor-blowout-fractures
#11
Won Joo Hwang, Do Heon Lee, Won Choi, Jae Ha Hwang, Kwang Seog Kim, Sam Yong Lee
INTRODUCTION: Hinge-shaped fractures are common type of orbital floor blowout fractures, for which reduction and internal fixation is ideal. Nonetheless, orbital floor reconstruction using alloplastic materials without reducing the number of bone fragments is the most frequently used procedure. Therefore, this study analyzed and compared the outcomes between open reduction and internal fixation using absorbable mesh plates and screws, and orbital floor reconstruction, by measuring the orbital volume before and after surgery...
October 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28828975/customized-titanium-mesh-based-on-the-3d-printed-model-vs-manual-intraoperative-bending-of-titanium-mesh-for-reconstructing-of-orbital-bone-fracture-a-randomized-clinical-trial
#12
Shahrokh Raisian, Hamid Reza Fallahi, Kazem S Khiabani, Mehdi Heidarizadeh, Sadaf Azdoo
BACKGROUND: This study was aimed to compare the efficacy of customized patient-specific titanium mesh based on 3D printed model with intra-operative bending of titanium mesh for reconstructing of orbital floor fracture. METHODS: This study was prospectively conducted on 10 patients with unilateral orbital floor fractures caused by accident or falls. In intervention group (n=5), the CT-scan slices were used for generating 3D reconstruction of both affected and unaffected orbits...
August 21, 2017: Reviews on Recent Clinical Trials
https://www.readbyqxmd.com/read/28812919/comparison-of-primary-and-secondary-enucleation-for-uveal-melanoma
#13
Chau M Pham, Philip L Custer, Steven M Couch
We investigated operative course and post-operative findings of patients undergoing primary enucleation for uveal melanoma versus those requiring secondary enucleation after brachytherapy. A retrospective chart review was performed with IRB approval on patients receiving treatment for uveal melanoma. Patients with enucleation as initial treatment and patients enucleated after plaque brachytherapy were analyzed for demographic data, operative course, and post-enucleation outcome. Further cause analysis for secondary enucleations was investigated...
August 16, 2017: Orbit
https://www.readbyqxmd.com/read/28797015/pediatric-orbital-blowout-fractures
#14
REVIEW
Stella Y Chung, Paul D Langer
PURPOSE OF REVIEW: The current study reviews the recent literature on pediatric orbital blowout fractures and provides guidelines on their management. RECENT FINDINGS: The most common problem among patients requiring surgical revision of a previously repaired orbital floor fracture is an improperly placed orbital floor implant, usually erroneously placed under the posterior bony ledge. Although the transconjunctival incision can be combined with a lateral canthotomy and cantholysis, excellent surgical exposure can be obtained without the need for these latter relaxing maneuvers...
September 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/28749852/complications-following-enucleations-and-subsequent-oculoplastic-surgeries
#15
Jennifer S N Verhoekx, Win Hou Willy Tse, Anina Rengifo Coolman, Yashna B van Kinderen, Rene J Wubbels, Dion Paridaens
PURPOSE: To analyze the complications and subsequent type and frequency of oculoplastic surgeries after enucleation in adult patients. METHODS: The authors conducted a retrospective case note review of adult patients who underwent enucleation followed by placement of an alloplastic implant wrapped in donor sclera between 2001 and 2013. The data collected included patient demographics, surgical indication, implant size, postoperative complications, and subsequent oculoplastic surgical procedures...
July 26, 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28747263/the-validity-and-reliability-of-computed-tomography-orbital-volume-measurements
#16
Silviu C Diaconu, David Dreizin, Mehmet Uluer, Corey Mossop, Michael P Grant, Arthur J Nam
PURPOSE: Orbital volume calculations allow surgeons to design patient-specific implants to correct volume deficits. It is estimated that changes as small as 1 ml in orbital volume can lead to enophthalmos. Awareness of the limitations of orbital volume computed tomography (CT) measurements is critical to differentiate between true volume differences and measurement error. The aim of this study is to analyze the validity and reliability of CT orbital volume measurements. MATERIALS AND METHODS: A total of 12 cadaver orbits were scanned using a standard CT maxillofacial protocol...
September 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28746906/prototyping-for-the-treatment-of-late-zygomatic-orbital-fracture-a-case-report
#17
Amanda Lúcio do Ó Silva, Isabella Jardelino Dias, Rafael Grotta Grempel, Hécio Henrique Araújo de Morais, Nadja Maria da Silva Oliveira Brito, Daliana Queiroga de Castro Gomes
INTRODUCTION: Zygomatic-orbital complex fractures are the most common facial traumas that can result in severe esthetic and functional sequelae. Surgical correction of these fractures is a delicate approach and prototyping is an excellent tool to facilitate this procedure. PRESENTATION OF CASE: A 27-year-old man, a motorcycle accident victim, was hospitalized in the intensive care unit for 30days. After this period, facial fractures were treated surgically, leaving sequelae such as enophthalmos, dystopia and loss of projection of the zygomatic arch...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28654591/the-classification-and-prognosis-of-periocular-complications-related-to-blindness-following-cosmetic-filler-injection
#18
Yujin Myung, Sangjun Yim, Jae Hoon Jeong, Baek-Kyu Kim, Chan-Yeong Heo, Rong-Min Baek, Chang-Sik Pak
Common side effects during hyaluronic acid filler injections are typically mild and reversible, but several reports of blindness have received attention. The present study focused on orbital symptoms combined with blindness, aiming to classify affected patients and predict their disease course and prognosis. From September of 2012 to August of 2015, nine patients with vision loss after filler injection were retrospectively reviewed. Ptosis, ophthalmoplegia, and enophthalmos were recorded over a 6-month follow-up, and patients were classified into four types according to periocular symptom manifestation...
July 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28642192/applications-of-3d-orbital-computer-assisted-surgery-cas
#19
P Scolozzi
INTRODUCTION: The purpose of the present report is to describe the indications for use of 3D orbital computer-assisted surgery (CAS). PATIENTS AND METHODS: We analyzed the clinical and radiological data of all patients with orbital deformities treated using intra-operative navigation and CAD/CAM techniques at the Hôpitaux Universitaires de Genève, Switzerland, between 2009 and 2016. We recorded age and gender, orbital deformity, technical and surgical procedure and postoperative complications...
September 2017: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28611988/management-of-orbital-and-periorbital-venous-malformation
#20
Lara A Benoiton, Kenneth Chan, Frederica Steiner, Trevor FitzJohn, Swee T Tan
BACKGROUND: To review our management of common venous malformation (VM) affecting the orbit and/or periorbital area. METHODS: Consecutive patients with orbital and/or periorbital VM were identified from our vascular anomalies database. Demographic details of the patients, anatomic site(s) affected, symptoms and signs, presence of a family history of VM, and types of treatment(s) were collected, supplemented by chart review. RESULTS: A total of 24 patients' age 1-68 (mean, 30) years with orbital and/or periorbital VM presented with cosmetic concerns (n = 17, 71%), distensibility (n = 15, 63%), pain (n = 9, 38%), diplopia (n = 4, 17%), and spontaneous thrombosis (n = 1, 8%)...
2017: Frontiers in Surgery
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