Evaluation of fronto-orbital reconstruction surgery for the treatment of metopic synostosis in Chinese population

Objective This study compared the impact of gradual oculomotor training (GOT) in blow-out orbital fracture (BOF) reconstruction recovery with the impact of high-intensity trainings. Methods In total, 120 patients with BOF requiring orbital reconstruction surgery were randomly divided into four groups; all groups performed postoperative oculomotor training four times per day. Patients in Groups 1, 2, 3, and 4 performed 10, 20, 30, and 50 sets of all-direction movement per training on the first 3 days, respectively; they performed 10 additional sets per training on the following 4 days. Patients in all groups performed 50 sets per training from 8 days to 3 months postoperatively. Incision healing, pain, and satisfaction rate, as well as degree of diplopia, were recorded during follow-up. Results At 7 days postoperatively, more patients in Group 1 had no/mild swelling and no/mild pain, compared with patients in Group 4. Patients in Groups 1 and 2 had higher satisfaction rates than patients in Group 4. The degree of diplopia did not significantly differ among the groups. Conclusions For patients with BOF, GOT after reconstruction surgery was more beneficial for wound healing, pain relief, and satisfaction; the degree of diplopia did not significantly differ, compared with high-intensity trainings.

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Rapid Prototyping Technology in Orbital Floor Reconstruction: Application in Three Patients

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0034-1371080 ◽

2014 ◽

Vol 7 (2) ◽

pp. 143-146 ◽

Cited By ~ 23

Author(s):

Christopher G. T. Lim ◽

Duncan I. Campbell ◽

Don M. Clucas

Keyword(s):

Rapid Prototyping ◽

Traumatic Injury ◽

Three Dimensional ◽

Cost Effective ◽

Titanium Plate ◽

Anatomical Structures ◽

Orbital Reconstruction ◽

Reconstruction Surgery ◽

Cost Effective Method ◽

Orbital Floor Reconstruction

Rapid prototyping entails the fabrication of three-dimensional anatomical models which provide an accurate and cost-effective method to visualize complex anatomical structures. Our unit has been using this to assist in the diagnosis, planning, and preoperative titanium plate adaptation for orbital reconstruction surgery following traumatic injury. The aim of this article is to demonstrate the potential clinical and cost-saving benefits of this technology.

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Is frosting effective? The role of retention sutures in posttraumatic orbital reconstruction surgery

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2015.07.026 ◽

2015 ◽

Vol 68 (12) ◽

pp. 1683-1686 ◽

Cited By ~ 3

Author(s):

Sophie Bartsich ◽

Caroline A. Yao

Keyword(s):

Orbital Reconstruction ◽

Reconstruction Surgery

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Orbital malformation with dysplastic infraorbital artery in neurofibromatosis type 1

European Journal of Ophthalmology ◽

10.1177/1120672120922447 ◽

2020 ◽

pp. 112067212092244

Author(s):

Zhengkang Li ◽

Leilei Zhang ◽

Yuan Deng

Keyword(s):

Computed Tomography ◽

Neurofibromatosis Type 1 ◽

Plexiform Neurofibroma ◽

Neurofibromatosis Type ◽

Artery Embolization ◽

Orbital Reconstruction ◽

Reconstruction Surgery ◽

History Of ◽

Inferior Orbital Fissure

Purpose: To report a case with neurofibromatosis type 1 presenting as prominent enophthalmos and abnormal infraorbital artery. Case description: A 19-year-old man with a family history of neurofibromatosis presented with prominent right enophthalmos. Computed tomography showed orbital dysplasia and enlarged inferior orbital fissure but no plexiform neurofibroma. Prominent intraoperative hemorrhage originated from several abnormal arteries in the infraorbital region during orbital reconstruction. A tortuous and dysplastic infraorbital artery was verified postoperatively by computed tomography angiography. The bleeding vessels were supposed to be the orbital branches of the dysplastic infraorbital artery. Conclusions: The orbital malformation and enlargement of inferior orbital fissure probably resulted in an abnormal infraorbital artery. Selective artery embolization may be chosen as a preceding treatment before orbital reconstruction surgery.

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Computer aided and 3D printing in pre-operative planning of orbital reconstruction surgery

Advanced Technologies in Mechanics ◽

10.17814/atim.2015.3(4).23 ◽

2016 ◽

Vol 2 (3(4)) ◽

pp. 20

Author(s):

Marek Wyleżoł ◽

Małgorzata Muzalewska ◽

Bartłomiej Szczodry

Keyword(s):

3D Printing ◽

Physical Model ◽

Modeling Tools ◽

Orbital Reconstruction ◽

Surgery Planning ◽

3D Print ◽

Reconstruction Surgery ◽

Computer Aided ◽

Operative Planning ◽

Triangular Model

<p>This article describes the example of a computer aided and 3D print of a patient’s fractured orbital preoperational reconstruction surgery planning.</p><p>On basis of a medical visualization a triangular model of the facial part of the skull with the fractured orbital has been developed. Using the haptic voxel modeling tools the model has been improved and next the model of the reconstructed orbital has been made. This model served to build a physical model. Using the physical model of the orbital the reconstruction mesh has been made which was then implanted into the patient’s skull. The entire surgery was completed with no complications and the patient regained proper sight. </p>

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Management of Extensive Blowout Fracture of Combined Orbital Floor and Medial Wall: A Challenge in Reconstruction

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1173 ◽

2014 ◽

Vol 6 (3) ◽

pp. 123-126

Author(s):

Pratik Dipak Shah ◽

Srijon Mukherjee

Keyword(s):

Medial Wall ◽

Original Position ◽

Orbital Floor ◽

Case Patient ◽

Pupillary Reflex ◽

Orbital Reconstruction ◽

Reconstruction Surgery ◽

Blowout Fracture ◽

Periocular Region ◽

Orbital Blowout Fractures

ABSTRACT Orbital blowout fractures are common sequelae of blunt trauma to periocular region. Combined orbital floor and medial wall fractures are more complicated than either alone, because there may not be adequate peripheral bony support for standard implants. The transition zone between orbital floor and medial wall is difficult to visualize intraoperatively and makes even more difficult to visualize in dissection further posteriorly. In our case, patient sustained orbital blowout fracture with herniation of periorbital tissue in maxillary sinus as well as ethmoidal sinus. After undergoing successful orbital reconstruction surgery, eyeball was repositioned to its original position. There was no enophthalmos and patient had no restriction in eye movement and perception to light was similar in both the eyes. Pupillary reflex to light was brisk and similar in both the eyes. How to cite this article Shah PD, Mukherjee S. Management of Extensive Blowout Fracture of Combined Orbital Floor and Medial Wall: A Challenge in Reconstruction. Int J Otorhinolaryngol Clin 2014;6(3):123126.

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