Fractured orbital wall reconstruction with an auricular cartilage graft or absorbable polyacid copolymer
| Autor: | Marcus Lessa, Leonardo de Souza Kruschewsky, Marinella Benez Kruschewsky, Bruno Castelo Branco, Carla Daltro, Francisco Veríssimo Mello-Filho, Tatiana Novais |
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| Přispěvatelé: | Apto. 503, Hospital da Bahia, Faculdade de Tecnologia e Ciencias, University of Bahia, Universidade de São Paulo (USP) |
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Male
Intraocular pressure Eye Movements genetic structures Exophthalmos Orbital fracture medicine.medical_treatment Ectropion Biocompatible Materials Ocular Motility Disorders Postoperative Complications Polylactic Acid-Polyglycolic Acid Copolymer Absorbable Implants Prospective Studies Orbital Fracture Diplopia Enophthalmos orbital reconstruction General Medicine Middle Aged absorbable copolymer Trigeminal Nerve Diseases Female Ear Cartilage medicine.symptom Adult medicine.medical_specialty Esthetics otorhinolaryngologic diseases medicine Humans Lactic Acid Paresthesia Craniofacial orbital trauma Orbital Fractures Intraocular Pressure Reduction (orthopedic surgery) business.industry Plastic Surgery Procedures medicine.disease eye diseases Surgery Otorhinolaryngology sense organs Visual Fields cartilage graft Tomography X-Ray Computed business Polyglycolic Acid Follow-Up Studies |
| Zdroj: | Scopus Repositório Institucional da UNESP Universidade Estadual Paulista (UNESP) instacron:UNESP |
| Popis: | Made available in DSpace on 2022-04-28T18:56:56Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-07-01 Objective: The objective of the study was to compare the functional and aesthetic results of fractured orbital wall reconstruction with an auricular cartilage graft or absorbable polyacid copolymer. Materials and Methods: Twenty patients with blow-out orbital fracture/orbital floor associated or not with the medial wall were assessed by the same craniofacial surgical group. All were evaluated preoperatively and postoperatively by an ophthalmologist for diplopia, enophthalmos, exophthalmos, sensitivity, ophthalmic reflexes, intraocular pressure, and visual field.The patients were subjected to a preoperative facial multislice computed tomographic scan, repeated 6 months after surgery. Eight patients underwent reconstruction with an auricular cartilage graft, and 12 patients, with blade absorbable polyacid copolymer. Subtarsal access was used for all patients. Results: Two patients showed temporary ectropion, 1 in each group. All patients presented satisfactory ocular function, and all tests revealed good orbital delineation, orbital symmetry, periorbital sinus individualization, and reduction of blow-out. Conclusions: The blow-out orbital wall reconstruction can be performed with the use of an auricular cartilage or with a blade absorbable copolymer without differences regarding functional or aesthetic complications and sequelae. © 2011 by Mutaz B. Habal, MD. Clinica AMO Institution Apto. 503, Avenida Paulo VI 2200, Pituba 41810001, Salvador Bahia Hospital da Bahia Faculdade de Tecnologia e Ciencias Medical Faculty University of Bahia University of Sao Paulo |
| Databáze: | OpenAIRE |
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