scholarly journals Clinical Outcome Following Surgical Repair of Small Versus Large Orbital Floor Fractures Using Polyglactin 910/Polydioxanone (Ethisorb®)

Materials ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 206 ◽  
Author(s):  
Otto Steinmassl ◽  
Johannes Laimer ◽  
Vincent Offermanns ◽  
Matthias Wildauer ◽  
Patricia-Anca Steinmassl ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Clinical Outcomes ◽  
Surgical Repair ◽  
Clinical Symptoms ◽  
Clinical Results ◽  
Orbital Floor ◽  
Polyglactin 910 ◽  
Suitable Material ◽  
Orbital Floor Fractures ◽  
Severe Impairment

The aim of this retrospective study was to evaluate the clinical outcome of surgical management of small versus large, isolated orbital floor fractures (OFFs) using polyglactin 910/polydioxanone (Ethisorb®). Covering a four-year period (2010–2013), all records concerning midfacial fractures with involvement of the orbit were screened. Isolated fractures of the orbital floor as well as combined injuries of the orbital floor and medial wall that had been treated surgically using polyglactin 910/polydioxanone (Ethisorb®) were included. Patients underwent a preoperative, a postoperative, and a late ophthalmologic assessment. The clinical outcomes of surgically managed small OFFs up to 2 cm2 were statistically analyzed and compared to clinical results in larger defects. The final sample included 61 patients (25 women, 36 men). Fractures up to 2 cm2 were found in 33 patients (54.1%), whereas 28 patients (45.9%) suffered from OFFs larger than 2 cm2. The clinical outcomes did not significantly differ between both sample categories, and statistical analysis showed a power of 0.91 to detect a potentially existing difference. On final examination, 52 patients were free of any clinical symptoms, whereas minor issues were found in seven subjects, and two patients suffered from severe impairment. In conclusion, polyglactin 910/polydioxanone (Ethisorb®) seems to be a suitable material for surgical repair of both small and large OFFs.

Management of Orbital Floor Fractures

2019 ◽  
Vol 35 (06) ◽  
pp. 633-639 ◽  
Author(s):  
Tom Shokri ◽  
Mark Alford ◽  
Matthew Hammons ◽  
Yadranko Ducic ◽  
Mofiyinfolu Sokoya
Keyword(s):  
Decision Making ◽  
Surgical Repair ◽  
Operative Intervention ◽  
Orbital Floor ◽  
Ocular Motility ◽  
Orbital Volume ◽  
Facial Contour ◽  
Orbital Floor Fractures ◽  
Craniomaxillofacial Trauma

AbstractFractures of the orbital floor represent a common yet difficult to manage sequelae of craniomaxillofacial trauma. Repair of these injuries should be carried out with the goal of restoring normal orbital volume, facial contour, and ocular motility. Precise surgical repair is imperative to reduce the risk of long-term debilitating morbidity. This article aims to review concepts on the management of orbital floor fractures in the hope of further elucidating perioperative evaluation and decision-making regarding operative intervention.

Influence of the volume of soft tissue herniation on clinical symptoms of patients with orbital floor fractures

2016 ◽  
Vol 44 (12) ◽  
pp. 1929-1934 ◽  
Author(s):  
Ali-Farid Safi ◽  
Marie-Theres Richter ◽  
Daniel Rothamel ◽  
Hans-Joachim Nickenig ◽  
Martin Scheer ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Clinical Symptoms ◽  
Orbital Floor ◽  
Orbital Floor Fractures

scholarly journals Blowout Fracture in a 3-Year-Old

2013 ◽  
Vol 6 (2) ◽  
pp. 133-136 ◽  
Author(s):  
Britt I. Pluijmers ◽  
Maarten J. Koudstaal ◽  
Dion Paridaens ◽  
Karel G.H. van der Wal
Keyword(s):  
Young Children ◽  
Surgical Planning ◽  
Clinical Symptoms ◽  
Orbital Floor ◽  
Conservative Approach ◽  
Transconjunctival Approach ◽  
Blowout Fracture ◽  
Fractures In Children ◽  
Orbital Floor Fractures ◽  
Orbital Floor Reconstruction

A 3-year-old patient was referred to the oral and maxillofacial department with a fracture of the orbital floor. Due to the lack of clinical symptoms, a conservative approach was chosen. After 3 weeks, an enophthalmos developed. The orbital floor reconstruction was successfully performed through a transconjunctival approach. This case highlights the rarity of pure blowout fractures in young children. The specific presentation and diagnostics of orbital floor fractures in children and the related surgical planning and intervention are discussed.

scholarly journals Titanium Nickelide in Midface Fractures Treatment

2020 ◽  
Vol 11 (3) ◽  
pp. 52
Author(s):  
Liudmila Shamanaeva ◽  
Ekaterina Diachkova ◽  
Pavel Petruk ◽  
Kirill Polyakov ◽  
Igor Cherkesov ◽  
...  
Keyword(s):  
Titanium Nickelide ◽  
Clinical Results ◽  
Orbital Floor ◽  
The Third ◽  
Orbital Floor Fractures ◽  
Orbital Wall ◽  
Medical Materials ◽  
One Year ◽  
Physical Features ◽  
Archive Data

Background: The question of reconstruction of human tissues and organs with the use of medical materials is still open, because of the accurate requirements for their biological and physical features. The aim of this study was to prove the efficiency of titanium nickelide constructors in treatment of isolated orbital floor fractures or combination with zygomatico-orbital complex fractures. Methods: Patients with a fracture of zygomatico-orbital complex and/or low orbital floor (n = 44) carried out different treatments: in the first group, osteosynthesis and endoprosthesis with titanium nickelide structures; in the second group, titan mini-plates osteosynthesis; in the third group (‘blow-out’), endoprosthesis with a titanium nickelide mesh; and in the fourth group (‘blow-out’), conservative treatment and monitoring (archive data) (p > 0.05). The paraesthesia, diplopia, enophthalmos and exophthalmos degree were measured in points. Results: In one year, the first and second groups had no differences in level of paraesthesia (p > 0.05). The absence of exophthalmos and differences between first and second groups, and between the third and the fourth groups with positive dynamics inside the groups were proved (p < 0.05). In the first and third groups, enophthalmos was absent, and it increased in the second and fourth groups (p < 0.01, p < 0.11). Diplopia in the first and third groups was absent, and it increased in the second and fourth groups (p < 0.05, p < 0.01). Conclusion: The elasticity and biocompatibility of titanium nickelide make the implant insertion and restoration of the lower orbital wall anatomy easier, with good postoperative clinical results.

scholarly journals Analysis of Early Outcomes After Surgical Repair of Orbital Floor Fractures

2018 ◽  
Vol 20 (2) ◽  
pp. 173-175
Author(s):  
Cindi K. Yim ◽  
Rocco Ferrandino ◽  
James Chelnis ◽  
I. Michael Leitman
Keyword(s):  
Surgical Repair ◽  
Orbital Floor ◽  
Orbital Floor Fractures

scholarly journals Alterações funcionais como consequências de traumatismo orbitário: revisão da literatura

2020 ◽  
Vol 9 (5) ◽  
pp. 464-467
Author(s):  
Ernest Cavalcante Pouchain ◽  
Vanessa Anastacio Pimentel ◽  
Roque Soares Martins Neto ◽  
Francisco Wylliego de Holanda Maciel ◽  
Kelvin Saldanha Lopes ◽  
...  
Keyword(s):  
Surgical Repair ◽  
Rectus Muscle ◽  
Fracture Repair ◽  
Orbital Floor ◽  
Orbital Fracture ◽  
Comparison Analysis ◽  
Inferior Rectus ◽  
Orbital Trauma ◽  
Orbital Floor Fractures ◽  
Inferior Rectus Muscle

Os traumas de face ocorrem por forças externas lesionando o corpo, podendo eles ser locais, gerais ou concomitantes. A etiologia do traumatismo orbitário é diversificada como: quedas, queimaduras e agressões, sendo considerada uma das principais causas de morte no mundo de acordo com Organização Mundial da Saúde (OMS). As fraturas faciais podem se dividir em fraturas dos terço superior, terço médio e terço inferior. As fraturas do tipo Blow-outmantêm as margens orbitais integra, envolvendo apenas parede orbital inferior e ou média. Diplopia e enoftalmia são complicações bem características de traumas orbitais. O objetivo do artigo é identificar as principais lesões ocasionadas por fraturas orbitárias e apontar o diagnóstico e tratamento das lesões. Trata-se de uma revisão de literatura do tipo descritiva, com os dados colhidos nas bases de dados PubMed, SciElo, Lilacs, Google Acadêmico, selecionando artigos entre o ano de 2008 – 2018, de língua inglesa, portuguesa e espanhola, disponíveis para download nas bases de dados citadas. Os exames de imagem como a Tomografia Computadorizada é de suma importância para o diagnóstico devido seu detalhamento. Alguns sinais clínicos são: diplopia, enoftalmia, hipoftalmia ou mobilidade muscular ocular prejudicada. O tratamento ainda varia muito entre os cirurgiões.Descritores: Diplopia; Fraturas Ósseas; Órbita; Traumatismo do Nervo Abducente; Nervo Óptico.ReferênciasRamos JC, Almeida MLD, Alencar YCG, de Sousa Filho LF, Figueiredo CHMC, Almeida MSC. Estudo epidemiológico do trauma bucomaxilofacial em um hospital de referência da Paraíba. Rev Col Bras Cir. 2018;45(6):e1978.Affonso PRA, Cavalcanti MA, Groisman S, Gandelman I. Etiologia de trauma e lesões faciais no atendimento pré – hospitalar no Rio de Janeiro. Rev UNINGÁ. 2010;23(1):23-34.Scolari N, Heitz C. Protocolo de tratamento em fraturas orbitárias. RFO UPF. 2012;17(3):365-69.Polligkeit J, Grimm M, Peters JP, Cetindis M, Krimmel M, Reinert S. Assessment of indications and clinical outcome for the endoscopy-assisted combined subciliary/transantral approach in treatment of complex orbital floor fractures. J Craniomaxillofac Surg. 2013;41(8):797-802.Mendonça JCG, Freitas GP, Lopes HB, Nascimento VS. Tratamento de fraturas complexas do terço médio da face: relato de caso. Rev Bras Cir Craniomaxilofac 2011;14(4):221-24.Jung H, Byun JY, Kim HJ, Min JH, Park GM, Kim HY, Kim YK, Cha J, Kim ST. Prognostic CT findings of diplopia after surgical repair of pure orbital blowout fracture. J Craniomaxillofac Surg. 2016;44(9):1479-84.Ellis E 3rd, Perez D. An algorithm for the treatment of isolated zygomatico-orbital fractures. J Oral Maxillofac Surg. 2014;72(10):1975-83.Nilsson J, Nysjö J, Carlsson AP, Thor A. Comparison analysis of orbital shape and volume in unilateral fractured orbits. J Craniomaxillofac Surg. 2018;46(3):381-87.  Yu DY, Chen CH, Tsay PK, Leow AM, Pan CH, Chen CT. Surgical Timing and Fracture Type on the Outcome of Diplopia After Orbital Fracture Repair. Ann Plast Surg. 2016;76 Suppl 1:S91-5.Morotomi T, Iuchi T, Hashimoto T, Sueyoshi Y, Nagasao T, Isogai N. Image analysis of the inferior rectus muscle in orbital floor fracture using cine mode magnetic resonance imaging. J Craniomaxillofac Surg. 2015;43(10):2066-70.He Y, Zhang Y, An JG. Correlation of types of orbital fracture and occurrence of enophthalmos. J Craniofac Surg. 2012;23(4):1050-53. Roth FS, Koshy JC, Goldberg JS, Soparkar CN. Pearls of orbital trauma management. Semin Plast Surg. 2010;24(4):398-410. Palmieri CF Jr, Ghali GE. Late correction of orbital deformities. Oral Maxillofac Surg Clin North Am. 2012;24(4):649-63. Tavares SSS, Tavares GR, Oka SC, Cavalcante JR, Paiva MAF. Fraturas orbitárias: revisão de literatura e relato de caso. Rev Cir Traumatol Buco-Maxilo-Fac. 2011;11(2):35-42.Long JA, Gutta R. Orbital, periorbital, and ocular reconstruction. Oral Maxillofac Surg Clin North Am. 2013;25(2):151-66.Wolff J, Sándor GK, Pyysalo M, Miettinen A, Koivumäki AV, Kainulainen VT. Late reconstruction of orbital and naso-orbital deformities. Oral Maxillofac Surg Clin North Am. 2013;25(4):683-95.  Dean A, Heredero S. Alamillos F.J, García-García B. Aplicación clínica de la planificación virtual y la navegación en el tratamiento de las fracturas del suelo de la órbita. Rev Esp Cir Oral Maxilofac. 2015; 37(4):220-28.Damasceno NAP, Damasceno EF. raumatic orbital fracture with intact ocular globe displacement into the maxillary sinus. Rev bras oftalmol. 2010;69(1):52-4.

Diplopia After Surgical Repair of Orbital Floor Fractures

1996 ◽  
Vol 12 (1) ◽  
pp. 9-16 ◽  
Author(s):  
Brian S. Biesman ◽  
Albert Hornblass ◽  
Richard Lisman ◽  
Melanie Kazlas
Keyword(s):  
Surgical Repair ◽  
Orbital Floor ◽  
Orbital Floor Fractures

scholarly journals The Role of Postoperative Imaging after Orbital Floor Fracture Repair

2018 ◽  
Vol 11 (2) ◽  
pp. 96-101 ◽  
Author(s):  
David Carpenter ◽  
Ronnie Shammas ◽  
Adam Honeybrook ◽  
C.Scott Brown ◽  
Nikita Chapurin ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Clinical Symptoms ◽  
Orbital Floor ◽  
Complication Rates ◽  
Postoperative Imaging ◽  
Asymptomatic Patients ◽  
Orbital Floor Fractures ◽  
Maxillofacial Fractures

Obtaining postoperative images of maxillofacial fractures does not affect the clinical management of asymptomatic patients; however, few studies have evaluated the role of postoperative imaging in the context of orbital floor fractures. In this study, we evaluate current practice techniques and the role of postoperative imaging in the management of orbital floor fractures in isolation and with concomitant facial fractures. Retrospective review of patients who underwent open reduction and internal fixation of orbital floor fractures between 2005 and 2015 at a single medical institution. Operative and perioperative records were reviewed to characterize postoperative imaging as routine or as indicated by concerning clinical symptoms, and to correlate clinical outcomes to postoperative imaging patterns across all identified orbital floor fractures. A total of 139 patients underwent open reduction and internal fixation of orbital floor fractures. Of these, 75 (54%) had zygomaticomaxillary (ZMC) involvement. The remaining 64 (46%) were isolated orbital floor fractures. Overall, 54 (39%) patients underwent postoperative imaging. Of these, 38 (70%) had postoperative imaging in the absence of concerning clinical symptoms. There was no observed difference in complication rates in those who underwent postoperative imaging, and those who did not. Patients with orbital + ZMC fractures underwent a significantly higher number of postoperative imaging studies ( p < 0.001); however, there was no observed difference in complications between isolated orbital and orbital + ZMC fractures. Routine postoperative imaging is not warranted in the absence of persistent clinical symptoms following open reduction and internal fixation of orbital floor fractures.

Assessment of indications and clinical outcome for the endoscopy-assisted combined subciliary/transantral approach in treatment of complex orbital floor fractures

2013 ◽  
Vol 41 (8) ◽  
pp. 797-802 ◽  
Author(s):  
Joachim Polligkeit ◽  
Martin Grimm ◽  
Jens P. Peters ◽  
Marcel Cetindis ◽  
Michael Krimmel ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Orbital Floor ◽  
Orbital Floor Fractures

Dynamic Proximal Ulnar Osteotomy for the Treatment of Ununited Anconeal Process in 17 Dogs

1998 ◽  
Vol 11 (02) ◽  
pp. 76-79 ◽  
Author(s):  
B. M. Turner ◽  
R. H. Abercromby ◽  
J. Innes ◽  
W. M. McKee ◽  
M. G. Ness
Keyword(s):  
Clinical Outcome ◽  
Prospective Study ◽  
Patient Population ◽  
Clinical Results ◽  
Radiographic Evaluation ◽  
Proximal Ulna ◽  
Ulnar Osteotomy ◽  
A Prospective Study

SummaryA prospective study was made of 17 dogs with ununited anconeal process treated by osteotomy of the proximal ulna. The effect of the surgery on lameness was evaluated subjectively and the elbows were assessed radiographically for evidence of anconeal fusion and healing of the osteotomy. Whilst clinical outcome was generally good and complications infrequent, relatively few cases achieved anconeal fusion. These results do not compare well with the results of a previous study but this disparity may be due in part to differences in patient population and radiographic evaluation.Further work is required to establish how best to achieve predictable anconeal fusion.Proximal ulnar osteotomy was used to treat 17 dogs with ununited anconeal process. Clinical results were good but anconeal fusion was not achieved consistently. Further work is needed to determine how best to achieve predictable anconeal fusion.

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