scholarly journals A novel technique for placing titanium mesh with porous polyethylene via the endoscopic transnasal approach into the orbit for medial orbital wall fractures

2019 ◽  
Vol 46 (5) ◽  
pp. 421-425 ◽  
Author(s):  
Seong Hwan Bae ◽  
Dae Kyun Jeong ◽  
Ju Young Go ◽  
Heeseung Park ◽  
Joo Hyoung Kim ◽  
...  
Keyword(s):  
Titanium Mesh ◽  
Porous Polyethylene ◽  
Transnasal Approach ◽  
Novel Technique ◽  
Orbital Wall ◽  
Endoscopic Transnasal Approach ◽  
Medial Orbital Wall

08:02: Medial Orbital Wall Fracture: Endoscopic Transnasal Approach

2007 ◽  
Vol 137 (2_suppl) ◽  
pp. P88-P88
Author(s):  
Lawrence P A Burgess ◽  
David L Steward ◽  
Gustavo Fabiano Nogueira ◽  
Carlos Augusto Seiji Maeda ◽  
Carlos-Roberto Ballin ◽  
...  
Keyword(s):  
Transnasal Approach ◽  
Orbital Wall ◽  
Endoscopic Transnasal Approach ◽  
Medial Orbital Wall

scholarly journals Treatment of Orbital Medial Wall Fractures with Titanium Mesh Plates Using Retrocaruncular Approach: Outcomes with Different Techniques

2015 ◽  
Vol 8 (4) ◽  
pp. 326-333 ◽  
Author(s):  
Giovanni Gerbino ◽  
Emanuele Zavattero ◽  
Stefano Viterbo ◽  
Guglielmo Ramieri
Keyword(s):  
Direct Vision ◽  
Medial Wall ◽  
Titanium Mesh ◽  
Orbital Reconstruction ◽  
Complex Anatomy ◽  
Orbital Wall ◽  
Group 3 ◽  
Group 2 ◽  
Medial Orbital Wall ◽  
Group 1

Surgical management of medial wall orbital fractures should be considered to avoid diplopia and posttraumatic enophthalmos. Treatment of these fractures remains a challenge for the maxillofacial surgeon because of complex anatomy and limited vision. This article aims to retrospectively evaluate the outcomes in the repair of medial orbital wall fractures using a retrocaruncular approach and titanium meshes, comparing the placement of the titanium mesh with three different techniques: (1) conventional free hand under direct vision, (2) with the assistance of an endoscope, and (c) with the assistance of a navigation system. Eighteen patients who underwent surgery for orbital medial wall fracture were enrolled in the study. On the basis of the implant placement technique, three groups were identified: group 1 (CONV), conventional free hand under direct vision; group 2 (ENDO), endoscopically assisted; group 3 (NAVI), a navigational system assisted (BrainLab, Feldkirchen, Germany). The postoperative quality of orbital reconstruction was assessed as satisfactory in 12 cases, good in 4 cases, and unsatisfactory in 2 cases. Particularly in group 1 (CONV) in four patients out of eight, the posterior ledge of the fracture was not reached by the implant and in one patient the mesh hinged toward the ethmoid. In group 3 (NAVI), in one patient out of five, the posterior ledge of the fracture was not reached. In conclusion, titanium orbital mesh plates and retrocaruncular approach are a reliable method to obtain an accurate orbital medial wall reconstruction. The use of endoscopic assistance through the surgical incisions improves accuracy of treatment allowing better visualization of the surgical field. Navigation aided surgery is a feasible technique especially for complex orbital reconstruction to improve predictability and outcomes in orbital repair.

Medial Orbital Wall Reconstruction With Porous Polyethylene by Using a Transconjunctival Approach With a Caruncular Extension

2017 ◽  
Vol 78 ◽  
pp. S89-S94 ◽  
Author(s):  
Chieh Chou ◽  
Yur-Ren Kuo ◽  
Chien-Chang Chen ◽  
Cheng-Sheng Lai ◽  
Sin-Daw Lin ◽  
...  
Keyword(s):  
Porous Polyethylene ◽  
Transconjunctival Approach ◽  
Orbital Wall ◽  
Medial Orbital Wall

Resources: Internet Resources for the Independent Medical Evaluator – 2007

2007 ◽  
Vol 12 (4) ◽  
pp. 4-7
Author(s):  
Christopher R. Brigham ◽  
Jenny Walker
Keyword(s):  
Head Trauma ◽  
Clonic Seizure ◽  
Acute Subdural Hematoma ◽  
Orbital Fracture ◽  
Orbital Wall ◽  
First Occurrence ◽  
One Year ◽  
The One ◽  
Neurological Injuries ◽  
Medial Orbital Wall

Abstract Rating patients with head trauma and multiple neurological injuries can be challenging. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, Section 13.2, Criteria for Rating Impairment Due to Central Nervous System Disorders, outlines the process to rate impairment due to head trauma. This article summarizes the case of a 57-year-old male security guard who presents with headache, decreased sensation on the left cheek, loss of sense of smell, and problems with memory, among other symptoms. One year ago the patient was assaulted while on the job: his Glasgow Coma Score was 14; he had left periorbital ecchymosis and a 2.5 cm laceration over the left eyelid; a small right temporoparietal acute subdural hematoma; left inferior and medial orbital wall fractures; and, four hours after admission to the hospital, he experienced a generalized tonic-clonic seizure. This patient's impairment must include the following components: single seizure, orbital fracture, infraorbital neuropathy, anosmia, headache, and memory complaints. The article shows how the ratable impairments are combined using the Combining Impairment Ratings section. Because this patient has not experienced any seizures since the first occurrence, according to the AMA Guides he is not experiencing the “episodic neurological impairments” required for disability. Complex cases such as the one presented here highlight the need to use the criteria and estimates that are located in several sections of the AMA Guides.

Sign in / Sign up

Export Citation Format

Share Document