Long-term results after primary restoration of the orbital floor

Friesenecker, J.; Dammer, R.; Moritz, Michael J.; Niederdellmann, H

doi:10.1016/s1010-5182(05)80251-3

Cited by 30 publications

(14 citation statements)

References 6 publications

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“…The goal of surgery is to reposition herniated orbital fat and tissue within the orbit, and repair of the post traumatic defect [6][7][8]. Orbital wall defects have been repaired with several types of autogenous grafts [9] or alloplastic [10][11][12][13] or allogenic implants [14,15] to lift the eyeball into its correct position and avoid enophthalmos. The ideal orbital implant should be strong enough to support the orbital contents, easily anchored in position, reshaped to fit the orbital defect, and biocompatible.…”

Section: Introductionmentioning

confidence: 99%

“…The ideal orbital implant should be strong enough to support the orbital contents, easily anchored in position, reshaped to fit the orbital defect, and biocompatible. Autogenous bone grafts have been the preferred material for reconstruction of the orbital walls [10,13], although there is unpredictable resorption, displacement problems, and donor-site morbidity [15]. In addition, contouring to the appropriate shape and placement of the graft in the orbital floor is extremely difficult.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Iliac Crest vs. Medpor in Orbital Floor Reconstruction

Ram

Singh

Mohammad

et al. 2010

J. Maxillofac. Oral Surg.

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Aim The present study is to compare the effectiveness of iliac crest graft and medpor implant, for repairing traumatic orbital floor defects. Materials and methods A total of 20 patients were included in the study. Autogenous iliac crest graft and medpor implant was used in 10 patients of the each group. Patients were evaluated for the presence or absence of diplopia, enophthalmos, infraorbital nerve paresthesia, and ocular motility disorders. Surgical indications for orbital exploration included entrapment of orbital tissues, large orbital defect (greater than 50% of the orbital floor or more than 8 mm), or orbital floor defects with involvement of other zygomaticofrontal complex fractures. Results All patients were successfully treated by restoration of the orbital wall continuity. Follow-up was done at 1-12 weeks. One patient had postoperative infection. There was no graft extrusion. Conclusions Both the groups showed satisfactory results, but group II was better than group I, as there was no donor site morbidity. Porous polyethylene (Medpor) is a biocompatible and high-density polyethylene implant. It is well tolerated by surrounding tissue, and its porous structure is rapidly infiltrated by host tissue. It is a highly stable and somewhat flexible porous alloplast that has rapid tissue in growth into its pores.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy of Iliac Crest vs. Medpor in Orbital Floor Reconstruction

Ram

Singh

Mohammad

et al. 2010

J. Maxillofac. Oral Surg.

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“…Literatüre bakıldığında, temel olarak üç önemli endikasyondan bahsedilmektedir; 1) Perioküler kas sıkışmasına veya göz küresinin orbita için-deki pozisyonunun değişmesine bağlı gelişen diplopi, 2) 2 mm'den fazla enoftalmus ve 3) Multipl fraktür nedeni ile oluşan şekil bozuklukları sayıla-bilmektedir. [7][8][9][10][11][12][13] Burada altı çizilmesi gereken bir nokta da fraktür sonrası erken dönemde orbita içi ve çevresinde oluşan yoğun ödem nedeni ile enoftalmusun maskelenebileceğidir. Dolayısıyla cerrahi endikasyon kararı verilirken bu durum göz önünde bulundurulmalı, gerekirse ödemin gerilemesi için bir süre daha beklenmelidir.…”

Section: Discussionunclassified

“…Bunlar farklı türde otojen greftler, alloplastik veya allojenik materyallerden oluşmaktadır. [6][7][8][9][10][11][12] Bu çalışmada, dört farklı orbital duvar kırığına yapılan cerrahi yaklaşımın, tamir ve cerrahi tamirde kullanılan materyallerin etkinliğinin, güve-nirliliğinin ve ergonomilerinin saptanması ve dört yıllık uzun dönem sonuçlarının paylaşılması amaç-lanmıştır. yolla anterior orbitotomi, 6 hastada cilt yolu ile anterior orbitotomi, 2 hastada cilt yolu ile mediyal orbitotomi ve 2 hastada kaş altı cilt yoluyla süperior orbitotomi yaklaşımı ile cerrahi onarım yapıldı.…”

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Surgical Approach in the Repair of Four Different Orbital Wall Fractures and Results in Four Years

Sendul¹,

Dirim²,

Yıldız³

et al. 2017

Turkiye Klinikleri J Ophthalmol

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“…2). Whenever persisting diplopia with positive forced duction test and/or enophthalmos of more than 2 mm in combination with a radiologically verified OFF with dislocation or herniation of orbital contents into the maxillary sinus was present after complete resolution of the swelling and emphysema, we indicated the surgical procedure according to the literature [3,4,[9][10][11]. Patients were dismissed from the hospital usually after 5 days if healing was uneventful, and the perioperative antibiotic prophylaxis was terminated usually on the second or third postoperative day.…”

Section: Methodsmentioning

confidence: 99%

Functional outcome after surgical treatment of orbital floor fractures

et al. 2011

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In the present article, the authors want to present the results of a retrospectively evaluated consecutive series of patients with surgically treated isolated orbital floor fractures (OFF; "blow-out fractures") concerning the functional outcome after OFF and give detailed recommendations based on the clinical and radiological findings. A series of 60 patients with isolated OFF over a 5-year period needing surgically repair at the same institution were evaluated. Patient data were analysed in terms of preoperative and postoperative clinical parameters and radiological findings. The analysed parameters were type of fracture, diplopia, gaze restriction, enophthalmos, materials used for repair, surgical approach and timing of the surgical intervention. Burst type fractures were more often found than punched-out fractures. The most frequently used surgical approach was a preseptal transconjunctival approach. An overall decrease of gaze restriction (93%), diplopia (89%) and enophthalmos (86%) was observed. According to the fracture size, we used Ethisorb patches in smaller fractures and resorbable or titanium meshes or autologous bone in larger fractures in most cases. Patients who underwent surgery more than 7 days after the trauma showed better results with regard to an improvement of diplopia and motility disturbances than patients who were treated immediately. In indicated cases, the surgical repair of OFF leads to very good results if the anatomical and functional properties of the orbit and its contents are respected. The applied strategy and means presented in our study proved of value and can therefore be recommended.

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Long-term results after primary restoration of the orbital floor

Cited by 30 publications

References 6 publications

Efficacy of Iliac Crest vs. Medpor in Orbital Floor Reconstruction

Efficacy of Iliac Crest vs. Medpor in Orbital Floor Reconstruction

Surgical Approach in the Repair of Four Different Orbital Wall Fractures and Results in Four Years

Functional outcome after surgical treatment of orbital floor fractures

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