Reconstruction of orbital floor defects assisted by transantral endoscopy
Purpose The goal of orbital reconstruction is to restore anatomy, volume, and function. In extensive orbital floor defects, the visualization of the posterior area is limited through inferior eyelid incisions. The use of endoscope may improve the treatment; however, it is a high-sensitivity techniqu...
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creator | Moura, Lucas Borin Gabrielli, Marisa Aparecida Cabrini Gabrielli, Mario Francisco Real Filho, Valfrido Antonio Pereira |
description | Purpose
The goal of orbital reconstruction is to restore anatomy, volume, and function. In extensive orbital floor defects, the visualization of the posterior area is limited through inferior eyelid incisions. The use of endoscope may improve the treatment; however, it is a high-sensitivity technique. The aim of this case series is to describe the combination of inferior eyelid incision with transantral endoscopy for treatment of extensive orbital floor defects.
Methods
Three patients were submitted to orbital reconstruction, and the postoperative CT scans were evaluated to analyze the orbital volume and anteroposterior globe position. Surgical treatment was performed using subciliary inferior palpebral approach to explore the orbital floor and placement of the titanium mesh and an intraoral antrostomy for endoscopy to magnification of the surgical field and adaptation of the mesh.
Results
Postoperative CT scan analysis shows that all treatments restored orbital volume and globe position without compression or damage of the optical nerve.
Conclusion
The use of endoscope allowed the precise visualization of the posterior region of the orbit and adaptation of the titanium mesh. |
doi_str_mv | 10.1007/s10006-016-0584-z |
format | Article |
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The goal of orbital reconstruction is to restore anatomy, volume, and function. In extensive orbital floor defects, the visualization of the posterior area is limited through inferior eyelid incisions. The use of endoscope may improve the treatment; however, it is a high-sensitivity technique. The aim of this case series is to describe the combination of inferior eyelid incision with transantral endoscopy for treatment of extensive orbital floor defects.
Methods
Three patients were submitted to orbital reconstruction, and the postoperative CT scans were evaluated to analyze the orbital volume and anteroposterior globe position. Surgical treatment was performed using subciliary inferior palpebral approach to explore the orbital floor and placement of the titanium mesh and an intraoral antrostomy for endoscopy to magnification of the surgical field and adaptation of the mesh.
Results
Postoperative CT scan analysis shows that all treatments restored orbital volume and globe position without compression or damage of the optical nerve.
Conclusion
The use of endoscope allowed the precise visualization of the posterior region of the orbit and adaptation of the titanium mesh.</description><identifier>ISSN: 1865-1550</identifier><identifier>EISSN: 1865-1569</identifier><identifier>DOI: 10.1007/s10006-016-0584-z</identifier><identifier>PMID: 27743322</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Case Report ; Combined Modality Therapy ; Dentistry ; Endoscopy - methods ; Eyelids - diagnostic imaging ; Eyelids - surgery ; Female ; Follow-Up Studies ; Humans ; Male ; Medicine ; Medicine & Public Health ; Oral and Maxillofacial Surgery ; Orbit - diagnostic imaging ; Orbit - surgery ; Orbital Fractures - diagnostic imaging ; Orbital Fractures - surgery ; Postoperative Complications - diagnostic imaging ; Prostheses and Implants ; Reconstructive Surgical Procedures - methods ; Surgical Mesh ; Titanium ; Tomography, X-Ray Computed ; Treatment Outcome ; Young Adult</subject><ispartof>Oral and maxillofacial surgery, 2017-03, Vol.21 (1), p.65-68</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><rights>Oral and Maxillofacial Surgery is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-74771a0a8a4470a16641a96277726bf46d89b89f2d31c0e21430e9959fa800f03</citedby><cites>FETCH-LOGICAL-c415t-74771a0a8a4470a16641a96277726bf46d89b89f2d31c0e21430e9959fa800f03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10006-016-0584-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10006-016-0584-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27743322$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moura, Lucas Borin</creatorcontrib><creatorcontrib>Gabrielli, Marisa Aparecida Cabrini</creatorcontrib><creatorcontrib>Gabrielli, Mario Francisco Real</creatorcontrib><creatorcontrib>Filho, Valfrido Antonio Pereira</creatorcontrib><title>Reconstruction of orbital floor defects assisted by transantral endoscopy</title><title>Oral and maxillofacial surgery</title><addtitle>Oral Maxillofac Surg</addtitle><addtitle>Oral Maxillofac Surg</addtitle><description>Purpose
The goal of orbital reconstruction is to restore anatomy, volume, and function. In extensive orbital floor defects, the visualization of the posterior area is limited through inferior eyelid incisions. The use of endoscope may improve the treatment; however, it is a high-sensitivity technique. The aim of this case series is to describe the combination of inferior eyelid incision with transantral endoscopy for treatment of extensive orbital floor defects.
Methods
Three patients were submitted to orbital reconstruction, and the postoperative CT scans were evaluated to analyze the orbital volume and anteroposterior globe position. Surgical treatment was performed using subciliary inferior palpebral approach to explore the orbital floor and placement of the titanium mesh and an intraoral antrostomy for endoscopy to magnification of the surgical field and adaptation of the mesh.
Results
Postoperative CT scan analysis shows that all treatments restored orbital volume and globe position without compression or damage of the optical nerve.
Conclusion
The use of endoscope allowed the precise visualization of the posterior region of the orbit and adaptation of the titanium mesh.</description><subject>Adult</subject><subject>Case Report</subject><subject>Combined Modality Therapy</subject><subject>Dentistry</subject><subject>Endoscopy - methods</subject><subject>Eyelids - diagnostic imaging</subject><subject>Eyelids - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Oral and Maxillofacial Surgery</subject><subject>Orbit - diagnostic imaging</subject><subject>Orbit - surgery</subject><subject>Orbital Fractures - diagnostic imaging</subject><subject>Orbital Fractures - surgery</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Prostheses and Implants</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Surgical Mesh</subject><subject>Titanium</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1865-1550</issn><issn>1865-1569</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OJlNcnmY_coxY9CQRA9h2w2kS3bTc1kD-2vN2WriOAhmUCeeWd4ELok-JZgLO8g3VjkmKTDS5bvjtCUlILnhIvq-OfN8QSdAawSSwnHp2hCpWRFQekULV6t8T3EMJjY-j7zLvOhbqPuMtd5H7LGOmsiZBqghWibrN5mMegedJ9Kl9m-8WD8ZnuOTpzuwF4c6gy9Pz68zZ_z5cvTYn6_zA0jPOaSSUk01qVmTGJNhGBEVyJtJKmoHRNNWdVl5WhTEIMtJazAtqp45XSJscPFDN2MuZvgPwcLUa1bMLbrdG_9AIqUBWekwqJI6PUfdOWH0KftEiVKWsiEJoqMlAkeIFinNqFd67BVBKu9ZzV6Vsmz2ntWu9RzdUge6rVtfjq-xSaAjgCkr_7Dhl-j_039AquTh1o</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Moura, Lucas Borin</creator><creator>Gabrielli, Marisa Aparecida Cabrini</creator><creator>Gabrielli, Mario Francisco Real</creator><creator>Filho, Valfrido Antonio Pereira</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20170301</creationdate><title>Reconstruction of orbital floor defects assisted by transantral endoscopy</title><author>Moura, Lucas Borin ; Gabrielli, Marisa Aparecida Cabrini ; Gabrielli, Mario Francisco Real ; Filho, Valfrido Antonio Pereira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-74771a0a8a4470a16641a96277726bf46d89b89f2d31c0e21430e9959fa800f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Case Report</topic><topic>Combined Modality Therapy</topic><topic>Dentistry</topic><topic>Endoscopy - methods</topic><topic>Eyelids - diagnostic imaging</topic><topic>Eyelids - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Oral and Maxillofacial Surgery</topic><topic>Orbit - diagnostic imaging</topic><topic>Orbit - surgery</topic><topic>Orbital Fractures - diagnostic imaging</topic><topic>Orbital Fractures - surgery</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Prostheses and Implants</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Surgical Mesh</topic><topic>Titanium</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moura, Lucas Borin</creatorcontrib><creatorcontrib>Gabrielli, Marisa Aparecida Cabrini</creatorcontrib><creatorcontrib>Gabrielli, Mario Francisco Real</creatorcontrib><creatorcontrib>Filho, Valfrido Antonio Pereira</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moura, Lucas Borin</au><au>Gabrielli, Marisa Aparecida Cabrini</au><au>Gabrielli, Mario Francisco Real</au><au>Filho, Valfrido Antonio Pereira</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reconstruction of orbital floor defects assisted by transantral endoscopy</atitle><jtitle>Oral and maxillofacial surgery</jtitle><stitle>Oral Maxillofac Surg</stitle><addtitle>Oral Maxillofac Surg</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>21</volume><issue>1</issue><spage>65</spage><epage>68</epage><pages>65-68</pages><issn>1865-1550</issn><eissn>1865-1569</eissn><abstract>Purpose
The goal of orbital reconstruction is to restore anatomy, volume, and function. In extensive orbital floor defects, the visualization of the posterior area is limited through inferior eyelid incisions. The use of endoscope may improve the treatment; however, it is a high-sensitivity technique. The aim of this case series is to describe the combination of inferior eyelid incision with transantral endoscopy for treatment of extensive orbital floor defects.
Methods
Three patients were submitted to orbital reconstruction, and the postoperative CT scans were evaluated to analyze the orbital volume and anteroposterior globe position. Surgical treatment was performed using subciliary inferior palpebral approach to explore the orbital floor and placement of the titanium mesh and an intraoral antrostomy for endoscopy to magnification of the surgical field and adaptation of the mesh.
Results
Postoperative CT scan analysis shows that all treatments restored orbital volume and globe position without compression or damage of the optical nerve.
Conclusion
The use of endoscope allowed the precise visualization of the posterior region of the orbit and adaptation of the titanium mesh.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27743322</pmid><doi>10.1007/s10006-016-0584-z</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Case Report Combined Modality Therapy Dentistry Endoscopy - methods Eyelids - diagnostic imaging Eyelids - surgery Female Follow-Up Studies Humans Male Medicine Medicine & Public Health Oral and Maxillofacial Surgery Orbit - diagnostic imaging Orbit - surgery Orbital Fractures - diagnostic imaging Orbital Fractures - surgery Postoperative Complications - diagnostic imaging Prostheses and Implants Reconstructive Surgical Procedures - methods Surgical Mesh Titanium Tomography, X-Ray Computed Treatment Outcome Young Adult |
title | Reconstruction of orbital floor defects assisted by transantral endoscopy |
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