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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Veröffentlicht in:Oral and maxillofacial surgery 2017-03, Vol.21 (1), p.65-68
Hauptverfasser: Moura, Lucas Borin, Gabrielli, Marisa Aparecida Cabrini, Gabrielli, Mario Francisco Real, Filho, Valfrido Antonio Pereira
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container_end_page 68
container_issue 1
container_start_page 65
container_title Oral and maxillofacial surgery
container_volume 21
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
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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. 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source MEDLINE; Springer Nature - Complete Springer Journals
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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