A prospective study of resolution of post-traumatic orbital complications using PRECLUDE® MVP: A randomized controlled trial.

Autor:	De-Moraes SLC; Clinic for Cranio-Maxillofacial & Reconstructive Surgery, Hospital São Francisco, Rio de Janeiro, Brazil., Pereira RDS; Oral & Maxillofacial Surgery, UNIFESO, Rio de Janeiro, Brazil., Afonso AMP; Clinic for Cranio-Maxillofacial & Reconstructive Surgery, Hospital São Francisco, Rio de Janeiro, Brazil., Mattos RP; Clinic for Cranio-Maxillofacial & Reconstructive Surgery, Hospital São Francisco, Rio de Janeiro, Brazil., Ribeiro da Silva J; Oral & Maxillofacial Surgery, UNIFESO, Rio de Janeiro, Brazil., Santos RG; Clinic for Cranio-Maxillofacial & Reconstructive Surgery, Hospital São Francisco, Rio de Janeiro, Brazil., Calasans-Maia MD; Oral & Maxillofacial Surgery, Federal Fluminense University, Rio de Janeiro, Brazil.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2020 Dec 29; Vol. 61, pp. 139-144. Date of Electronic Publication: 2020 Dec 29 (Print Publication: 2021).
DOI:	10.1016/j.amsu.2020.12.021
Abstrakt:	Orbital fractures alone represent 10% up to 25% of all facial fractures, but when they are associated with other fractures of the middle-third of the face, their incidence can increase up to 55%. This study aimed to identify whether the size of the orbital defect based on the classification by Jaquiéry et al. influenced the resolution of post-traumatic complications after orbital wall reconstruction using PRECLUDE®MVP alone or in combination with a titanium mesh or autogenous bone graft. Thirty-five orbits were categorized into four groups on the basis of the size of the defect and the operative techniques: group 1 contained 16 Jaquiéry class I orbits treated only with PRECLUDE®MVP; group 2 included eight class II orbits treated with PRECLUDE®MVP along with autogenous bone graft harvested from the calvaria or a titanium mesh; group 3 included five class III orbits and group 4 included six class IV orbits that were treated the same way as those in group 2. Spearman correlation showed that the use PRECLUDE®MVP didn't improve the post traumatic complications for big orbital defects due to the three-dimensional anatomical changes that occurred by neurologic lesions and lipolysis of the orbital contents. Competing Interests: The authors have no conflict of interest. (© 2021 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.)
Databáze:	MEDLINE
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