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Jaehoon Choi, Sang Woo Park, Junhyung Kim, Jeongseob Park, Jun Sik Kim
INTRODUCTION: The purpose of this study was to compare the strength of the relationships between predictors and late-onset enophthalmos in medial and inferior orbital wall fractures and to determine the most significant predictive factor of enophthalmos in medial or inferior orbital wall fracture. METHODS: Sixty-three adult patients with unilateral medial or inferior orbital wall fracture who had been left untreated for more than two months were enrolled in this study...
September 7, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Tae Suk Oh, Woo Shik Jeong, Taik Jin Chang, Kyung S Koh, Jong Woo Choi
BACKGROUND: It is difficult to restore original orbital contours because of their complex 3-dimensional structure. Moreover, slight implant malpositioning can result in enophthalmos or other complications. The authors describe our experience of using individualized prebent titanium-Medpor mesh implants and stereolithographic modeling in a series of patients who underwent orbital wall reconstruction. METHODS: A consecutive series of 104 patients with orbital fractures received computer simulation-designed prebent titanium-Medpor mesh implants insertion...
October 14, 2016: Journal of Craniofacial Surgery
Shao-Rui Liu, Xue-Fei Song, Zheng-Kang Li, Qin Shen, Xian-Qun Fan
OBJECTIVE: With orbital floor fracture incidence rates increasing year by year, many patients require surgical treatment to improve diplopia, limitation of extraocular muscle movement (EOM), enophthalmos, and midface appearance. With the use of high-density polyethylene, titanium screws, titanium plate, and titanium mesh to repair an orbital floor fracture, enophthalmos and midfacial deformity correction procedures have made great progress. However, attenuating diplopia and the limitation of EOM are still difficult problems to prevent...
October 14, 2016: Journal of Craniofacial Surgery
Stéphane Bruneau, Raoul De Haller, Delphine S Courvoisier, Paolo Scolozzi
The aim of this study was to determine the predictive value of a specific computed tomography (CT)-based assessment for the final functional ophthalmological outcome in pure orbital floor blowout fractures. Data of 34 consecutive patients with pure blowout fractures who had undergone a period of at least 6 months of medical and ophthalmological follow-up were analyzed. The following 3 CT scan-based parameters were included: area ratio of the fractured orbital floor (RF), maximum height of periorbital tissue herniation (MH), and a 4-grade muscular subscore (MSS) describing the inferior rectus muscle displacement relative to the orbital floor level...
October 14, 2016: Journal of Craniofacial Surgery
Lauren E Hock, Marinos Kontzialis, Aimee J Szewka
No abstract text is available yet for this article.
October 18, 2016: Neurology
Degala Sai Krishna, Dey Soumadip
PURPOSE: The main aim of our study was to assess and evaluate the efficacy, long standing outcome and infection of porous polyethylene implants in treatment of orbital floor fractures. PATIENT AND METHODS: Twelve patients with fractures of orbital floor were included in the study. The cause of fracture was road traffic accident, self fall and cow hit respectively. They also complained of enophthalmos (n = 9), diplopia (n = 3), restricted eye movement (n = 2), impairment of infraorbital nerve (n = 3) and dystopia (n = 6)...
September 2016: Journal of Maxillofacial and Oral Surgery
Frederick A Jakobiec, Anna M Stagner, Natalie Homer, Michael K Yoon
PURPOSE: To further define the histopathologic features of breast carcinoma conducive to orbital metastasis. METHODS: Ten new female patients with orbital or eyelid breast cancer metastases encountered between 2011 and 2016 had their medical records reviewed for determining their clinical characteristics. Microscopic glass slides from biopsies and immunohistochemical test results were also analyzed. Biomarkers studied included cytokeratin 7, nuclear estrogen and progesterone receptors, HER2, and E-cadherin...
October 5, 2016: Ophthalmic Plastic and Reconstructive Surgery
Wouter M M T van Hout, Ellen M Van Cann, Ronald Koole, Antoine J W P Rosenberg
: This study investigates treatment outcome in zygomaticomaxillary complex (ZMC) fracture repair. METHODS: The medical records and CT-images of patients that received treatment for a unilateral ZMC fracture in 2005-2011 were studied. ZMC fractures were categorised as incomplete (type A), tetrapod (type B) or comminuted (type C). The incidence of sequelae, wound infection and secondary surgical interventions was analysed per fracture category. RESULTS: A total of 153 patients were treated in the selected period...
September 13, 2016: Journal of Cranio-maxillo-facial Surgery
S M Balaji
Ballistic injuries of oral and maxillofacial region are usually fatal due to close propinquity with the vital structures. The severity of injury depends on the caliber of the weapon used and distance from which the patient is shot. The preliminary care of facial ballistic wounds strictly adheres to the basics of trauma resuscitation. Early and appropriate surgical management has proved to be influential on the final outcome and esthetic result. Treatment of facial gunshot wounds should be planned and carried out carefully to avoid esthetic complications...
July 2016: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
Toshiaki Kodera, Hidetaka Arishima, Shinsuke Yamada, Hiroshi Arai, Ayumi Akazawa, Yoshifumi Higashino, Ryuhei Kitai, Satoshi Iino, Helmut Bertalanffy, Ken-Ichiro Kikuta
BACKGROUND: The surgical technique of obitozygomatic craniotomy reported by Zabramski, et al. is an excellent procedure, facilitating wide surgical exposure, easy orbital reconstruction, and a satisfactory postsurgical esthetic outcome; however, it is anatomically complicated and technically difficult. OBJECTIVE: The authors introduce a simplified technique of Zabramski's orbitozygomatic craniotomy and present the anatomical and clinical findings with cadaveric photos, illustrations, and a video of surgery...
September 29, 2016: World Neurosurgery
Giovanni Salzano, Mario Turri-Zanoni, Apostolos Karligkiotis, Jacopo Zocchi, Giovanni Dell'Aversana Orabona, Luigi Califano, Paolo Battaglia, Paolo Castelnuovo
BACKGROUND: The infraorbital nerve (ION) is a terminal branch of the maxillary nerve (V2) providing sensory innervation to the malar skin. It is sometimes necessary to sacrifice the ION and its branches to obtain adequate maxillary sinus exposure for radical resection of sinonasal tumors. Consequently, patients suffer temporary or permanent paresthesia, hypoestesthia, and neuralgia of the face. We describe an innovative technique used for preservation of the ION while removing the anterior, superior, and lateral walls of the maxillary sinus through a medial endoscopic transnasal maxillectomy...
September 28, 2016: International Forum of Allergy & Rhinology
Milap Raikundalia, Peter F Svider, Curtis Hanba, Adam J Folbe, Mahdi A Shkoukani, Soly Baredes, Jean Anderson Eloy
OBJECTIVES/HYPOTHESIS: Our objectives included using a nationally representative resource to evaluate charges, demographics, and complication rates among diabetics undergoing surgical repair of facial fractures. METHODS: We evaluated the Nationwide Inpatient Sample, a database encompassing nearly 8 million hospitalizations, for patients with a diagnosis of a facial fracture who underwent surgical intervention during their hospitalization. Patients were organized by whether they had a diagnosis of diabetes mellitus (DM)...
September 23, 2016: Laryngoscope
Renato Marano, Alfio Jose Tincani
The aim of this study was to compare the effectiveness of porous polyethylene, titanium mesh, and castor oil-derived biopolymer randomized in orbital reconstructions of defects larger than 1 cm in length on the inferior and medial walls. A total of 63 patients (64 orbits) were evaluated to determine the presence of diplopia, enophthalmos ocular motility, and infraorbital nerve paraesthesia in both the preoperative and postoperative periods. The surgeons' opinions of the ease in handling the implants were also obtained after each procedure...
August 23, 2016: Journal of Cranio-maxillo-facial Surgery
Han Byul Lee, Soo Hyang Lee
PURPOSE: Measuring the change in orbital volume may help to predict enophthalmos, but it is time consuming and difficult to apply. We devised a new and straightforward method with which to estimate the degree of enophthalmos. MATERIALS AND METHODS: This retrospective cohort study was performed from January 2013 to December 2015. Patients who underwent initial computed tomography (CT) examination and surgical reconstruction in our hospital were selected. An imaginary line connecting the edges of the bony defects (defect line) was drawn on 2-dimensional CT images...
July 25, 2016: Journal of Oral and Maxillofacial Surgery
Se-Hyung Kim
Silent sinus syndrome (SSS) is a rare clinical syndrome associated with characteristic spontaneous and gradual downward bowing of the orbital floor caused by impaired sinus ventilation. The author experienced a rare case of SSS in a 35-year-old woman patient. She was referred for evaluation of a spontaneous orbital asymmetry with right enophthalmos and hypoglobus. She underwent functional endoscopic sinus surgery to open obstructed maxillary sinus ostium and aesthetic eyelid surgery to enhance the appearance of her orbital asymmetry...
September 2016: Journal of Craniofacial Surgery
A P Bakushev, K A Sivolapov
OBJECTIVE: to optimize surgical treatment in patients with orbital wall defects and deformities. MATERIAL AND METHODS: For diagnosis of orbital wall injuries, the patients underwent facial skeletal X-ray study in the semiaxial projection and midfacial spiral computed tomography. Defects were removed via the intrasinus approach in the victims, by applying a combined prosthesis designed at the Department of Oral Surgery and General Dentistry, Novokuznetsk State Institute for Postgraduate Training of Physicians...
March 2016: Vestnik Rentgenologii i Radiologii
Seung-Hyun Rhee, Tae-Seup Kim, Jae-Min Song, Sang-Hoon Shin, Jae-Yeol Lee
PURPOSE: This study assessed the association between eye symptoms (enophthalmos or diplopia) and site of damage, volume, deviated inferior rectus muscle (IRM) and type of fracture with computed tomography (CT). The intent is to anticipate the prognosis of orbital trauma at initial diagnosis. METHODS: Forty-five patients were diagnosed with fractures of the inferior wall of one orbit. Fracture area, volume of displaced tissue, deviated IRM, and type of fracture were evaluated from coronal CT by one investigator...
November 2014: Maxillofacial Plastic and Reconstructive Surgery
Sung-Pil Joo, Sung-Hyun Kim, Hong-Ju Park, Seunggon Jung, Jeong Joon Han, Tae-Sun Kim
Enophthalmos after a ventriculo-peritoneal (V-P) shunt placement is very rare. Previous defects of the orbital wall with intracranial hypotension can cause enophthalmos after V-P shunting. The authors present 2 patients of enophthalmos with orbital wall defects resulting from anterior clinoidectomy that was performed during previous aneurysmal surgery. Both patients received a V-P shunt for hydrocephalus after subarachnoid hemorrhage. Although the hydrocephalus was improved by V-P shunts in both patients, sunken eyes were observed...
October 2016: Journal of Craniofacial Surgery
Tiago Costa, Eduardo Ferreira, Luís Antunes, Paulo Borges Dinis
INTRODUCTION: The frequently used irrigant in dental surgery, sodium hypochlorite, is occasionally the cause of minor, usually circumscribed, adverse effects. Severe, extensive complications, with lasting sequelae, however, also can occur, as in the case we report herein. CASE REPORT: A 55-year-old woman underwent an endodontic procedure on a maxillary molar, whose roots, unknown to the surgeon, were protruding into the maxillary sinus. After sodium hypochlorite root canal irrigation, the patient immediately developed intense facial pain, facial edema, and periorbital cellulitis...
January 2016: Allergy & Rhinology
Achille Tarsitano, Giovanni Badiali, Angelo Pizzigallo, Claudio Marchetti
OBJECTIVE: Enophthalmos is a severe complication of primary reconstruction of orbital floor fractures. The goal of secondary reconstruction procedures is to restore symmetrical globe positions to recover function and aesthetics. The authors propose a new method of orbital floor reconstruction using a mirroring technique and a customized titanium mesh, printed using a direct metal laser-sintering method. METHODS: This reconstructive protocol involves 4 steps: mirroring of the healthy orbit at the affected site, virtual design of a patient-specific orbital floor mesh, CAM procedures for direct laser-sintering of the customized titanium mesh, and surgical insertion of the device...
October 2016: Journal of Craniofacial Surgery
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