Aesthetic considerations in the reconstruction of the anophthalmic orbit

Abstract

Twenty-four patients with severe anophthalmic orbit syndrome were treated with a combination of techniques utilizing autogenous tissue. Autogenous corticocancellous bone grafts were used in the orbit as a volume filler. The temporalis muscle and a fasciae flap with a pericranial flap were used as a curtain to cover the bone grafts and to give a softening effect. The prosthesis used was a regular eye shell. With this method it can be smaller, thinner, and lighter to produce less deformation of the lower lid, particularly when used for a long period of time. In children who have this deformity compounded by small orbits after oncologic treatment, three-wall orbital enlargement is done to achieve a larger orbit, so as to match the normal unaffected socket and produce symmetry.

Reconstructing the eyelids after exenteration and trauma

“…In spite of many excellent papers, an expansion osteotomy alone cannot be regarded to be a totally effective procedure because, as a rule, there is a need for concomitant use of bone grafts [13,16] or its substitutes [24]. If so, one should give up performing osteotomies in many patients as a hemicircular orbital wall augmentation can produce almost the same outcome.…”

“…The most popular is probably placing galeal flaps, temporalis muscle or distant flaps into the cavity [9,11,13,20,26,31]. A good reason for this approach is that it achieves simultaneous closure of any fistulae or defects that may be present in the orbital area.…”

Immediate Socket Restoration After Orbital Trauma With Globe Loss

“…Surgical procedures should be performed meticulously to attain the best functional and cosmetic result and avoid complications and deformities. 8,10 To achieve this goal, we believe that evisceration, when possible, is better than enucleation. In fact, evisceration achieves a better cosmetic result than enucleation does because it is less traumatic to the orbital tissues and extraocular muscles.…”

Análise da biocompatibilidade de cones de biovidro e biovitrocerâmico em cavidade eviscerada de coelho

“…Ele se encontra dentro da cavidade orbitária que possui volume total de 32 ±2 cm 3 , composto pelo volume do bulbo ocular e pelos músculos extrínsecos, vasos sanguíneos, nervos e gordura (HABAL, 1987 (BEAVER et al, 1996).…”

“…Quando a devolução de volume é primária, ou seja, é feita no mesmo ato cirúrgico realizado para a enucleação ou evisceração ocular, 90% das pessoas tratadas apresentam bons resultados (HABAL, 1987).…”