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

2015 ◽  
Vol 68 (12) ◽  
pp. 1683-1686 ◽  
Author(s):  
Sophie Bartsich ◽  
Caroline A. Yao
2019 ◽  
Vol 48 (4) ◽  
pp. 030006051989384
Author(s):  
Changjuan Zeng ◽  
Chengjing Fan ◽  
Jinlin Liu ◽  
Qiong Xiao ◽  
Yiwen Zhu ◽  
...  

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.


2014 ◽  
Vol 7 (2) ◽  
pp. 143-146 ◽  
Author(s):  
Christopher G. T. Lim ◽  
Duncan I. Campbell ◽  
Don M. Clucas

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.


2012 ◽  
Vol 10 (8) ◽  
pp. S16
Author(s):  
Rizwan Attia ◽  
Hannah Fleming ◽  
John Chambers ◽  
Fikrat Shabbo

2021 ◽  
Vol 2 ◽  
pp. 47-57
Author(s):  
Robert F. LaPrade ◽  
Edward R. Floyd ◽  
Gregory B. Carlson ◽  
Gilbert Moatshe ◽  
Jorge Chahla ◽  
...  

In this review article, the authors describe the most current knowledge surrounding meniscal root tears with a primary focus on diagnosis, management, and implications for the health of the knee joint. Historically overlooked or treated with meniscectomy, meniscal root tears are now known to disrupt the biomechanical role of the meniscus in the joint, leading to the rapid development of knee osteoarthritis. Tears of the medial and lateral posterior meniscal roots are associated with differing etiologies and sequelae, especially in regard to their action as secondary stabilizers of the knee, making root tears an important consideration in ligament reconstruction surgery. We will discuss diagnostic challenges and well-established hallmarks of meniscus tears on imaging, and will conclude by explaining the preferred method for surgical repair of the meniscal roots and appropriate rehabilitation.


2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Konstantinos A. Starantzis ◽  
Dimitrios Mastrokalos ◽  
Dimitrios Koulalis ◽  
Olympia Papakonstantinou ◽  
Panayiotis N. Soucacos ◽  
...  

Purpose. In this study, the early and midterm clinical and radiological results of the anterior cruciate ligament (ACL) reconstruction surgery with or without the use of platelet rich plasma (PRP) focusing on the tunnel-widening phenomenon are evaluated.Methods. This is a double blind, prospective randomized study. 51 patients have completed the assigned protocol. Recruited individuals were divided into two groups: a group with and a group without the use of PRPs. Patients were assessed on the basis of MRI scans, which were performed early postoperatively and repeated at least one-year postoperatively. The diameter was measured at the entrance, at the bottom, and at the mid distance of the femoral tunnel.Results. Our study confirmed the existence of tunnel widening as a phenomenon. The morphology of the dilated tunnels was conical in both groups. There was a statistical significant difference in the mid distance of the tunnels between the two groups. This finding may support the role of a biologic response secondary to mechanical triggers.Conclusions. The use of RPRs in ACL reconstruction surgery remains a safe option that could potentially eliminate the biologic triggers of tunnel enlargement. The role of mechanical factors, however, remains important.


2020 ◽  
pp. 112067212092244
Author(s):  
Zhengkang Li ◽  
Leilei Zhang ◽  
Yuan Deng

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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