Early surgical intervention for orbital floor fractures: a clinical evaluation of lyophilized dura and cartilage reconstruction
| Autor: | Kurt Laedrach, Markus Zingg, Joseph Chen, Joram Raveh |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Dura mater Fracture Fixation Internal medicine Diplopia Transconjunctival approach Humans Displacement (orthopedic surgery) Complication rate Child Orbital Fractures Aged Aged 80 and over business.industry Cartilage Middle Aged eye diseases Surgery medicine.anatomical_structure Freeze Drying Treatment Outcome Otorhinolaryngology Orbital reconstruction Female Dura Mater Oral Surgery business Clinical evaluation Follow-Up Studies |
| Zdroj: | Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 50(9) |
| ISSN: | 0278-2391 |
| Popis: | Experience in the management of 77 isolated orbital floor fractures is presented. The transconjunctival approach was used exclusively to access the orbital floor and lyophilized dura and cartilage were used to reconstruct the floor, when indicated. Follow-up for an average of 36 months showed excellent cosmetic and functional results. A 20% complication rate was noted, which compares favorably with what is reported in the literature. There were no graft extrusions or infections and only one case of graft displacement. These findings support the concept of early treatment of orbital floor fractures, even in “minimally symptomatic” patients. Lyophilized dura and cartilage proved to be safe and effective materials for orbital reconstruction. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|