Classification and management of infra-orbital rim fractures

2022 ◽  
Author(s):  
Anantanarayanan Parameswaran ◽  
Elavenil Panneerselvam ◽  
Mrunalini Ramanathan ◽  
Milen Mathew ◽  
Bipasha Mukherjee
Keyword(s):  
Orbital Rim

scholarly journals Resurrection of the genus Homalopteroides (Teleostei: Balitoridae) with a redescription of H. modestus (Vinciguerra 1890)

Zootaxa ◽  
2012 ◽  
Vol 3586 (1) ◽  
pp. 329 ◽  
Author(s):  
ZACHARY S. RANDALL ◽  
LAWRENCE M. PAGE
Keyword(s):  
Lateral Line ◽  
Head Length ◽  
Pectoral Fin ◽  
Caudal Fin ◽  
Dorsal Fin ◽  
Interorbital Width ◽  
Fin Rays ◽  
Orbital Rim ◽  
Pectoral Fin Rays ◽  
Pelvic Fin

The genus Homalopteroides Fowler 1905 is resurrected and distinguished from the genus Homaloptera van Hasselt 1823based on a combination of characters including a unique mouth morphology, dorsal-fin origin over pelvic fin,≤60 lateral-line scales, and≤30 predorsal scales. Species included in Homalopteroides are H. wassinkii (Bleeker 1853), H. modestus(Vinciguerra 1890), H. rupicola (Prashad & Mukerji 1929), H. smithi (Hora 1932), H. stephensoni (Hora 1932), H. weberi(Hora 1932), H. tweediei (Herre 1940), H. indochinensis (Silas 1953), H. nebulosus (Alfred 1969), H. yuwonoi (Kottelat1998), and possibly H. manipurensis (Arunkumar 1999). Homalopteroides modestus (Vinciguerra 1890) is a poorlyknown species that was originally described from the Meekalan and Meetan rivers of southern Myanmar. It occurs in theSalween, Mae Khlong, and Tenasserim basins, and can be distinguished from all other species of Homalopteroides by thecombination of caudal-fin pattern (black proximal and distal bars, median blotch), 15 pectoral-fin rays, pectoral-fin lengthgreater than head length, 5½–6½ scales above and 5–6 scales below the lateral line (to the pelvic fin), 39–44 total lateral-line pores, no axillary pelvic-fin lobe, pelvic fin not reaching anus, orbital length less than interorbital width in adult, and maxillary barbel reaching to or slightly past the anterior orbital rim.

scholarly journals Quantitative analysis of the surgical exposure and surgical freedom between transcranial and transorbital endoscopic anterior petrosectomies to the posterior fossa

2019 ◽  
Vol 131 (2) ◽  
pp. 569-577 ◽  
Author(s):  
Raywat Noiphithak ◽  
Juan C. Yanez-Siller ◽  
Juan Manuel Revuelta Barbero ◽  
Bradley A. Otto ◽  
Ricardo L. Carrau ◽  
...  
Keyword(s):  
Posterior Fossa ◽  
Additional Benefit ◽  
Range Of Movement ◽  
Statistical Comparison ◽  
Anterior Transpetrosal Approach ◽  
Surgical Exposure ◽  
Orbital Wall ◽  
Anterior Petrosectomy ◽  
Surgical Corridor ◽  
Orbital Rim

OBJECTThis study proposes a variation of the transorbital endoscopic approach (TOEA) that uses the lateral orbit as the primary surgical corridor, in a minimally invasive fashion, for the posterior fossa (PF) access. The versatility of this technique was quantitatively analyzed in comparison with the anterior transpetrosal approach (ATPA), which is commonly used for managing lesions in the PF.METHODSAnatomical dissections were carried out in 5 latex-injected human cadaveric heads (10 sides). During dissection, the PF was first accessed by TOEAs through the anterior petrosectomy, both with and without lateral orbital rim osteotomies (herein referred as the lateral transorbital approach [LTOA] and the lateral orbital wall approach [LOWA], respectively). ATPAs were performed following the orbital approaches. The stereotactic measurements of the area of exposure, surgical freedom, and angles of attack to 5 anatomical targets were obtained for statistical comparison by the neuronavigator.RESULTSThe LTOA provided the smallest area of exposure (1.51 ± 0.5 cm2, p = 0.07), while areas of exposure were similar between LOWA and ATPA (1.99 ± 0.7 cm2 and 2.01 ± 1.0 cm2, respectively; p = 0.99). ATPA had the largest surgical freedom, whereas that of LTOA was the most restricted. Similarly, for all targets, the vertical and horizontal angles of attack achieved with ATPA were significantly broader than those achieved with LTOA. However, in LOWA, the removal of the lateral orbital rim allowed a broader range of movement in the horizontal plane, thus granting a similar horizontal angle for 3 of the 5 targets in comparison with ATPA.CONCLUSIONSThe TOEAs using the lateral orbital corridor for PF access are feasible techniques that may provide a comparable surgical exposure to the ATPA. Furthermore, the removal of the orbital rim showed an additional benefit in an enhancement of the surgical maneuverability in the PF.

Lateral Orbitotomy Without Removal of the Lateral Orbital Rim

1988 ◽  
Vol 106 (10) ◽  
pp. 1463-1468 ◽  
Author(s):  
J. D. Wirtschafter ◽  
A. E. Chu
Keyword(s):  
Lateral Orbitotomy ◽  
Orbital Rim

Extended endoscopic transorbital approach with superior-lateral orbital rim osteotomy: cadaveric feasibility study and clinical implications (SevEN-007)

2021 ◽  
pp. 1-14
Author(s):  
*Jaejoon Lim ◽  
Kyoung Su Sung ◽  
Woohyun Kim ◽  
Jihwan Yoo ◽  
In-Ho Jung ◽  
...  
Keyword(s):  
Skull Base ◽  
Complete Removal ◽  
Vertical Movement ◽  
Anterior Skull Base ◽  
Cadaveric Study ◽  
Surgical Instruments ◽  
Anterior Clinoidectomy ◽  
Endoscopic Transorbital ◽  
Surgical Corridor ◽  
Orbital Rim

OBJECTIVE The endoscopic transorbital approach (ETOA) has been developed, permitting a new surgical corridor. Due to the vertical limitation of the ETOA, some lesions of the anterior cranial fossa are difficult to access. The ETOA with superior-lateral orbital rim (SLOR) osteotomy can achieve surgical freedom of vertical as well as horizontal movement. The purpose of this study was to confirm the feasibility of the ETOA with SLOR osteotomy. METHODS Anatomical dissections were performed in 5 cadaveric heads with a neuroendoscope and neuronavigation system. ETOA with SLOR osteotomy was performed on one side of the head, and ETOA with lateral orbital rim (LOR) osteotomy was performed on the other side. After analysis of the results of the cadaveric study, the ETOA with SLOR osteotomy was applied in 6 clinical cases. RESULTS The horizontal and vertical movement range through ETOA with SLOR osteotomy (43.8° ± 7.49° and 36.1° ± 3.32°, respectively) was improved over ETOA with LOR osteotomy (31.8° ± 5.49° and 23.3° ± 1.34°, respectively) (p < 0.01). Surgical freedom through ETOA with SLOR osteotomy (6025.1 ± 220.1 mm3) was increased relative to ETOA with LOR osteotomy (4191.3 ± 57.2 mm3) (p < 0.01); these values are expressed as the mean ± SD. Access levels of ETOA with SLOR osteotomy were comfortable, including anterior skull base lesion and superior orbital area. The view range of the endoscope for anterior skull base lesions was increased through ETOA with SLOR osteotomy. After SLOR osteotomy, the space for moving surgical instruments and the endoscope was widened. Anterior clinoidectomy could be achieved successfully using ETOA with SLOR osteotomy. The authors performed ETOA with SLOR osteotomy in 6 cases of brain tumor. In all 6 cases, complete removal of the tumor was successfully accomplished. In the 3 cases of anterior clinoidal meningioma, anterior clinoidectomy was performed easily and safely, and manipulation of the extended dural margin and origin dura mater was possible. There was no complication related to this approach. CONCLUSIONS The authors evaluated the clinical feasibility of ETOA with SLOR osteotomy based on a cadaveric study. ETOA with SLOR osteotomy could be applied to more diverse disease groups that do not permit conventional ETOA or to cases in which surgical application is challenging. ETOA with SLOR osteotomy might serve as an opportunity to broaden the indication for the ETOA.

Nodular Fasciitis of the Orbital Rim in a Pediatric Patient

1997 ◽  
Vol 34 (5) ◽  
pp. 316-318
Author(s):  
Franco M Recchia ◽  
Edward G Buckley ◽  
Lois M Townshend ◽  
Gordon K Klintworth
Keyword(s):  
Pediatric Patient ◽  
Nodular Fasciitis ◽  
Orbital Rim

A Superior and Inferior Orbital Rim-Based Exophthalmometer (Orbitometer)

1992 ◽  
Vol 23 (12) ◽  
pp. 836-837
Author(s):  
Thomas C Naugle ◽  
John T Couvillion
Keyword(s):  
Orbital Rim

The Aging Face: A Different Perspective on Pathology and Treatment

1998 ◽  
Vol 15 (2) ◽  
pp. 167-172 ◽  
Author(s):  
Mark Berman
Keyword(s):  
Fat Grafting ◽  
Volume Correction ◽  
Brow Lift ◽  
Aging Face ◽  
Photo Damage ◽  
Lifting Techniques ◽  
Orbital Rim ◽  
Over Time

Probably because the thrust of the pathology of the aging face has been attributed to the effects of gravity (skin and muscle loosening and falling), treatment of such is generally directed toward lifting procedures. Indeed, results from such procedures are generally beneficial, but in many cases the patient appears unnaturally skeletonized. A brow-lift may eliminate some wrinkles and frown lines, but does anyone (naturally youthful) really have eyebrows a centimeter above the orbital rim? Our goal has been, and continues to be, to strive for excellence, and in the case of the aging face, this would be an improved and more youthful appearance. This paper will discuss the main pathology of the appearance of aging, which is the general dissipation of facial fat over time. It will also provide discussion as to thoughtful correction of the problem not only with lifting techniques but also with consideration to filling procedures. The judicial use of fat-grafting and various synthetic implants serve as the principal tools for volume correction. It is acknowledged that the skin undergoes photo-damage, which also contributes to the appearance of aging, but this is treated by treating the skin in a multitude of ways.

scholarly journals Breast Cancer Metastasis Presenting as Conjunctival Chemosis

2015 ◽  
Vol 6 (3) ◽  
pp. 439-442 ◽  
Author(s):  
Eva Diltoer ◽  
Marcel P.M. ten Tusscher
Keyword(s):  
Lacrimal Gland ◽  
Cancer Metastasis ◽  
Breast Cancer Metastasis ◽  
Artificial Tears ◽  
Lobular Breast Carcinoma ◽  
Left And Right ◽  
The Right ◽  
Orbital Rim ◽  
Firm Mass ◽  
Vascular Injection

A 72-year-old woman presented with a painful right eye. A few weeks before, she had noticed a red, swollen area in the conjunctiva of the same eye. On slit lamp examination, it appeared as chemosis and vascular injection; artificial tears were prescribed. A month later, a firm mass developed on the superotemporal orbital rim, in the area of the lacrimal gland. A CT scan revealed infiltrative structures in both the left and right orbit, with contrast staining in the right lacrimal gland and near the left optic nerve. A biopsy was taken of the conjunctival swelling as well as of the lacrimal gland. Both tissues showed infiltration with lobular breast carcinoma metastases.

Seesaw Modification of the Lateral Orbital Wall in Le Fort III Osteotomy

2004 ◽  
Vol 41 (6) ◽  
pp. 579-583 ◽  
Author(s):  
M. Emin Mavili ◽  
Gökhan Tunçbilek
Keyword(s):  
Long Term Effects ◽  
Traditional Treatment ◽  
Le Fort ◽  
Syndromic Craniosynostosis ◽  
Smooth Contour ◽  
Le Fort Iii ◽  
Orbital Wall ◽  
Conventional Methods ◽  
Orbital Rim

Objective The traditional treatment for patients with syndromic craniosynostosis and midfacial retrusion has consisted of Le Fort III osteotomy and advancement. Distraction with rigid external systems allows advancement of the midface segment much more than the conventional methods. This excessive advancement resulted in the superiormost margin of the advancement segment becoming prominent. It can be felt easily with palpation and may influence the appearance of the patient negatively. This article presents a procedure osteotomy designed to modify the osteotomy lines at the lateral orbital rims and smooth the step deformity at the lateral canthal region. Results The seesaw osteotomy produced a smooth contour at the lateral orbital rim. Planned advancement was achieved without difficulty and without adverse long-term effects.

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