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Orbit fracture

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https://www.readbyqxmd.com/read/29238415/facial-and-orbital-fractures-a-fifteen-years-retrospective-evaluation-of-north-east-sicily-treated-patients
#1
Michele Runci, Francesco Saverio De Ponte, Roberto Falzea, Ennio Bramanti, Floriana Lauritano, Gabriele Cervino, Fausto Famà, Alessandro Calvo, Salvatore Crimi, Silvia Rapisarda, Marco Cicciù
Background: Orbital fractures are classified as diseases usually related to common midface trauma. It represents the most challenging treatment due to the complex anatomy, physiology, and aesthetic role. A midface trauma involves also the zygomatic complex and the nose, however the orbit fracture seems to be a more frequent disease due to its anatomical features. Objective: The purpose of this work is to retrospectively evaluate and record the frequency of the midfacial traumas and orbital fractures observed in the North Eastern Sicily...
2017: Open Dentistry Journal
https://www.readbyqxmd.com/read/29234230/traumatic-eye-ball-luxation-a-stepwise-approach-to-globe-salvage
#2
Himika Gupta, Srivalli Natarajan, Sushrut Vaidya, Shipra Gupta, Dinesh Shah, Raj Merchant, Shrikant Deshpande
Craniofacial trauma is often associated with orbital and ocular injuries. We report a case of a 21-year-old male with motor vehicular accident, orbital roof blow-in fracture, cerebrospinal fluid (CSF) leak, and left sided globe luxation with corneal abrasion and complete conjunctival denuding. The patient was managed by a multispeciality team and the eyeball was protected by amniotic membrane graft (AMG) biological dressing with novel use of inverted sterile metallic bowl as mechanical protection till the patient stabilized...
October 2017: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/29233702/endoscopic-endonasal-repair-with-polyethylene-implants-in-medial-orbital-wall-fractures-a-prospective-study-on-25-cases
#3
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
#4
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/29219263/-comparison-of-measurement-methods-of-exophthalmos-and-its-forensic-significance
#5
S L Tan, J M Chen, X Y Yu, M W Wang, P P Zhuo, S Zhou, W T Xia
OBJECTIVES: To compare the differences between Hertel exophthalmometry and CT on exophthalmos measurement, and explore its practical application value in forensic medicine. METHODS: Fifty-six normal individuals without eye injuries or diseases were selected as the control group. The absolute values of exophthalmos were measured in the standardized CT image workstation. The difference of binocular exophthalmos was compared in normal group. Forty-seven cases with unilateral orbital fracture were divided into injured eye group and normal eye group according to the presence of binocular orbital fractures...
August 2017: Fa Yi Xue za Zhi
https://www.readbyqxmd.com/read/29207845/two-episodes-of-trigeminocardiac-reflex-during-a-pan-facial-fracture-surgery-a-rare-phenomenon-case-report-and-review-of-literature
#6
Abhishek Bhattacharjee, Prashanth Rajaram, Abhishek Khatua, K B Rudresh, Pallavi B Krishnamurthy
Trigeminocardiac reflex is a sudden physiologic response due to mechanical manipulation of any of the branches of trigeminal nerve. Trigeminocardiac reflex occurs due to pressure effect or stretching of trigeminal nerve which causes fall in blood pressure and decrease in heart rate. In this reflex arc, the trigeminal nerve serves as afferent pathway and vagus nerve, which is cardio inhibitory in nature, serves as efferent pathway. Two episodes of trigeminocardiac reflex during maxillofacial trauma surgery is not a common phenomenon...
September 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/29201577/orbital-blowout-fracture-with-complete-dislocation-of-the-globe-into-the-maxillary-sinus
#7
Joy Mh Wang, Fabian N Fries, Philipp Hendrix, Titus Brinker, Marios Loukas, R Shane Tubbs
This rare case report describes the diagnosis and treatment of an isolated left-sided orbital floor fracture with a complete dislocation of the globe into the maxillary sinus and briefly discusses the indications of surgery and recovery for orbital floor fractures in general. Complete herniation of the globe through an orbital blow-out fracture is uncommon. However, the current case illustrates that such an occurrence should be in the differential diagnosis and should be considered, especially following high speed/impact injuries involving a foreign object...
September 29, 2017: Curēus
https://www.readbyqxmd.com/read/29194270/trend-and-demographic-characteristics-of-maxillofacial-fractures-in-level-i-trauma-center
#8
Omri Emodi, Amir Wolff, Hanna Srouji, Hany Bahouth, Dani Noy, Imad Abu El Naaj, Adi Rachmiel
AIM: The aim of this study was to analyze the pattern and treatment of craniomaxillofacial injuries in the northern part of Israel, within a Jewish majority and large Arab minority population. PATIENTS AND METHODS: A 5-year retrospective study evaluated patients treated for craniomaxillofacial fractures. Fracture cause, type, site, and patient demographics were evaluated. RESULTS: Patient age ranged from 1 to 94 years with an average age of 36...
November 20, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29188648/-application-of-bone-grafts-from-chin-of-the-mandible-in-the-reconstruction-of-orbital-fracture
#9
Li Xiaoyu, Wu Jing, Du Xinya, Huang Jian, Wu Bin, Xie Chun
OBJECTIVE: To evaluate the clinical effects of bone graft from the mandible in repairing orbital floor defects. METHODS: Bone grafts from the mandible were used to treat 11 cases of orbital floor defects and followed up for 6-12 months. RESULTS: The surgical incisions healed primarily in all 11 patients. The orbital floor structure was restored. No vision loss, limited eye movement, implant infection, or resorption were observed postoperatively, and no complications occurred in the supply area...
October 1, 2017: Hua Xi Kou Qiang Yi Xue za Zhi, Huaxi Kouqiang Yixue Zazhi, West China Journal of Stomatology
https://www.readbyqxmd.com/read/29122500/effects-of-infraorbital-nerve-s-anatomical-course-on-the-fracture-pattern-of-the-orbital-floor
#10
Junhyung Kim, Sang Woo Park, Jaehoon Choi, Woonhyeok Jeong, Ryeolwoo Kim
In this study, details of the infraorbital nerve's (ION's) anatomical course variants were compared using computed tomography (CT), and relationships between the variants and fracture patterns in the orbital floor were investigated. Fifty-two normal individuals and 50 patients with unilateral isolated orbital floor fractures were enrolled in this study. Four measurements in normal individuals and five measurements in fracture patients were obtained in parasagittal sections. The anatomical variations of the ION were categorized into three types according to the classification by Ferences et al...
October 18, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29121707/reconstruction-of-medial-orbital-wall-fractures-without-subperiosteal-dissection-the-push-out-technique
#11
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/29101581/a-case-of-traumatic-infraorbital-neuroma
#12
Shahriar Amjadi, Weng Onn Chan, Saul Rajak, David K Morrissey, Sumu Simon, Gary Davis, Dinesh Selva, Alkis J Psaltis
A 53-year-old Afghan man presented with a 12-month history of left proptosis, diplopia and facial swelling 20 years after a bomb blast injury. Magnetic resonance and computed tomography imaging revealed a well-circumscribed lesion centred within the left inferior orbit/superior maxillary sinus along with left orbital fracture. Histopathology and immunostaining of the debulked lesion were consistent with traumatic neuroma of the infraorbital nerve. Infraorbital neuromas have developed following orbital decompression surgeries but have not been reported previously following non-surgical trauma...
December 2017: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29101007/epidemiology-of-primary-ophthalmic-inpatient-admissions-in-the-united-states
#13
Mustafa Iftikhar, Nadia Junaid, Marili Lemus, Zyannah N Mallick, Syeda A Mina, Urooba Hannan, Joseph K Canner, Asad Latif, Syed Mahmood Ali Shah
PURPOSE: To determine the national estimates, demographics and costs of inpatient eye care in the United States (US). DESIGN: Retrospective cross-sectional study. METHODS: National Inpatient Sample (NIS), a representative sample of all US community hospitals, was used to analyze inpatient admissions with a primary ophthalmic diagnosis from 2001 to 2014. National estimates of the most prevalent diagnoses were determined, and descriptive statistics were calculated for demographics and costs...
October 31, 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/29100833/isolated-orbital-fractures-are-severe-among-geriatric-patients
#14
Miika Toivari, Anna Liisa Suominen, Satu Apajalahti, Christian Lindqvist, Johanna Snäll, Hanna Thorén
PURPOSE: The purpose of the present study was to clarify the reasons for, types of, and degree of involvement of the orbital wall and the severity of orbital fractures in geriatric patients and to compare the differences between geriatric and younger adult patients. MATERIALS AND METHODS: A retrospective case-control study of geriatric patients aged at least 65 years (n = 72) and younger controls aged 20 to 50 years (n = 58) with a diagnosis of a unilateral isolated orbital fracture was designed and implemented...
October 9, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29100830/should-virtual-mirroring-be-used-in-the-preoperative-planning-of-an-orbital-reconstruction
#15
Jesper Jansen, Leander Dubois, Ruud Schreurs, Peter J J Gooris, Thomas J J Maal, Ludo F Beenen, Alfred G Becking
PURPOSE: Mirroring has been used as a diagnostic tool in orbital wall fractures for many years, but limited research is available proving the assumed symmetry of orbits. The purpose of this study was to evaluate volume and contour differences between orbital cavities in healthy humans. MATERIALS AND METHODS: In this cross-sectional study, the left and right orbital cavities of a consecutive sample of patients' computed tomograms were measured. Inclusion criteria were patients with no sign of orbital or sinus pathology or fracture...
October 9, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29100818/quantitative-assessment-of-orbital-fractures-in-asian-patients-ct%C3%A2-measurement-of-orbital-volume
#16
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/29095826/pediatric-orbital-wall-fractures-prognostic-factors-of-diplopia-and-ocular-motility-limitation
#17
Yung Ju Yoo, Hee Kyung Yang, Namju Kim, Jeong-Min Hwang
OBJECTIVES: To investigate the factors affecting recovery of diplopia and limited ocular motility in pediatric patients who underwent surgery for orbital wall fracture. DESIGN: Retrospective observational case series. METHODS: In this retrospective observational case series, 150 pediatric patients (1-18 years old) who were diagnosed with orbital medial wall or floor fracture and underwent corrective surgery between 2004 and 2016 at Seoul National University Bundang Hospital were included...
2017: PloS One
https://www.readbyqxmd.com/read/29095184/orbital-floor-fractures
#18
(no author information available yet)
No abstract text is available yet for this article.
October 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/29095175/orbital-floor-fractures
#19
Denise R Ramponi, Terri Astorino, Colleen R Bessetti-Barrett
The orbital bones are thin and exposed, making the orbital walls vulnerable to fractures. The floor of the orbit is the weakest portion of this 4-sided pyramid structure. Blunt force trauma is the primary mechanism of injury in young men between the ages of 18 and 30 years. Computerized tomography is the primary imaging technique to diagnose orbital fractures. Conservative versus surgical management is determined by maxillofacial and ophthalmology specialists.
October 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/29089253/use-of-a-monopolar-microneedle-device-in-a-transconjunctival-retroseptal-approach
#20
Thomas Gander, Claudio Rostetter, Michael Blumer, Maximilian Wagner, Paul Schumann, Daniel B Wiedemeier, Martin Rücker, Harald Essig
Transconjunctival approach is a standard procedure to address fractures of orbit and the infraorbital rim. Modifications such as transcaruncular or lateral canthal widening allow for extended orbital wall exposure. Especially concerning aesthetics, the transconjunctival approach shows benefits compared to the transcutaneous incisions, such as the transciliary and infraorbital access. Moreover, transconjunctival approach is favored in the literature concerning lid retraction. Monopolar devices have become popular in surgery in the past decades because of good depth control and simultaneous hemostasis with consequently improved overview...
September 30, 2017: Journal of Cranio-maxillo-facial Surgery
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