C-modified osteotomy for bilateral advancement of the orbital rim in Graveś orbitopathy: a technical note
Abstract The authors present a modification of the classical three-wall orbital decompression for the treatment of Graves’ orbitopathy. It consists of two ‘C’ osteotomies for the bilateral projection of the superolateral, lateral and inferolateral orbital rims, associated with the removal of the lat...
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| Veröffentlicht in: | International journal of oral and maxillofacial surgery 2008-09, Vol.37 (9), p.853-857 |
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| container_title | International journal of oral and maxillofacial surgery |
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| creator | González-García, R Sastre-Pérez, J Rodríguez-Campo, F.J Naval-Gías, L Monje, F |
| description | Abstract The authors present a modification of the classical three-wall orbital decompression for the treatment of Graves’ orbitopathy. It consists of two ‘C’ osteotomies for the bilateral projection of the superolateral, lateral and inferolateral orbital rims, associated with the removal of the lateral orbital walls. This technique is performed following a coronal approach. Ultrasound cutting instruments were used for the osteotomies. They avoided lesion of surrounding soft tissues, such as the duramater and the periorbital tissues. Stabilization of the advanced structure was achieved by interposition of autologous bone graft obtained from the outer cortex of the calvaria. An extreme advancement of the orbital rim with resolution of diplopia, ocular pain and eyelid incompetence was obtained. Using this procedure, a good functional and aesthetic outcome was achieved. |
| doi_str_mv | 10.1016/j.ijom.2008.05.012 |
| format | Article |
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It consists of two ‘C’ osteotomies for the bilateral projection of the superolateral, lateral and inferolateral orbital rims, associated with the removal of the lateral orbital walls. This technique is performed following a coronal approach. Ultrasound cutting instruments were used for the osteotomies. They avoided lesion of surrounding soft tissues, such as the duramater and the periorbital tissues. Stabilization of the advanced structure was achieved by interposition of autologous bone graft obtained from the outer cortex of the calvaria. An extreme advancement of the orbital rim with resolution of diplopia, ocular pain and eyelid incompetence was obtained. Using this procedure, a good functional and aesthetic outcome was achieved.</description><identifier>ISSN: 0901-5027</identifier><identifier>EISSN: 1399-0020</identifier><identifier>DOI: 10.1016/j.ijom.2008.05.012</identifier><identifier>PMID: 18602797</identifier><identifier>CODEN: IJOSE9</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Aged ; Biological and medical sciences ; bone graft ; Decompression, Surgical - methods ; Dentistry ; Graves Ophthalmopathy - surgery ; graves’ orbitopathy ; Humans ; Male ; Medical sciences ; Ophthalmology ; Orbit - surgery ; Orbit diseases ; orbital decompression ; Orthopedic surgery ; osteotomy ; Osteotomy - instrumentation ; Osteotomy - methods ; Otorhinolaryngology. Stomatology ; proptosis ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Treatment Outcome ; Ultrasonic Therapy - instrumentation</subject><ispartof>International journal of oral and maxillofacial surgery, 2008-09, Vol.37 (9), p.853-857</ispartof><rights>International Association of Oral and Maxillofacial Surgeons</rights><rights>2008 International Association of Oral and Maxillofacial Surgeons</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-3bcf61d4a538b16b6b9a7912d759d912d6b71412a3e308103363c67ec7441db03</citedby><cites>FETCH-LOGICAL-c439t-3bcf61d4a538b16b6b9a7912d759d912d6b71412a3e308103363c67ec7441db03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0901502708001811$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20755282$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18602797$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>González-García, R</creatorcontrib><creatorcontrib>Sastre-Pérez, J</creatorcontrib><creatorcontrib>Rodríguez-Campo, F.J</creatorcontrib><creatorcontrib>Naval-Gías, L</creatorcontrib><creatorcontrib>Monje, F</creatorcontrib><title>C-modified osteotomy for bilateral advancement of the orbital rim in Graveś orbitopathy: a technical note</title><title>International journal of oral and maxillofacial surgery</title><addtitle>Int J Oral Maxillofac Surg</addtitle><description>Abstract The authors present a modification of the classical three-wall orbital decompression for the treatment of Graves’ orbitopathy. It consists of two ‘C’ osteotomies for the bilateral projection of the superolateral, lateral and inferolateral orbital rims, associated with the removal of the lateral orbital walls. This technique is performed following a coronal approach. Ultrasound cutting instruments were used for the osteotomies. They avoided lesion of surrounding soft tissues, such as the duramater and the periorbital tissues. Stabilization of the advanced structure was achieved by interposition of autologous bone graft obtained from the outer cortex of the calvaria. An extreme advancement of the orbital rim with resolution of diplopia, ocular pain and eyelid incompetence was obtained. Using this procedure, a good functional and aesthetic outcome was achieved.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>bone graft</subject><subject>Decompression, Surgical - methods</subject><subject>Dentistry</subject><subject>Graves Ophthalmopathy - surgery</subject><subject>graves’ orbitopathy</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Ophthalmology</subject><subject>Orbit - surgery</subject><subject>Orbit diseases</subject><subject>orbital decompression</subject><subject>Orthopedic surgery</subject><subject>osteotomy</subject><subject>Osteotomy - instrumentation</subject><subject>Osteotomy - methods</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>proptosis</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><subject>Ultrasonic Therapy - instrumentation</subject><issn>0901-5027</issn><issn>1399-0020</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks-KFDEQh4Mo7rj6Ah4kF711W0n6X0QWZNBVWPCgnkM6qWbS290Zk8zAHH0_H8q0Myh48FRQ-epH6qMIec6gZMCa12PpRj-XHKAroS6B8Qdkw4SUBQCHh2QDElhRA2-vyJMYRwCQomsfkyvWNbkr2w253xazt25waKmPCX3y84kOPtDeTTph0BPV9qgXgzMuifqBph1SH3qX8lNwM3ULvQ36iPHnj3Pf73Xand5QTROa3eJMBhef8Cl5NOgp4rNLvSbfPrz_uv1Y3H2-_bR9d1eYSshUiN4MDbOVrkXXs6Zveqlbybhta2nX2vQtqxjXAgV0DIRohGlaNG1VMduDuCavzrn74L8fMCY1u2hwmvSC_hBVI-sOGr6C_Aya4GMMOKh9XkiHk2KgVsVqVKtitSpWUKusOA-9uKQf-hnt35GL0wy8vAA65tWHkOW5-Ifj0NY179agt2cOs4ujw6CicZhFWxfQJGW9-_8_bv4ZN5P7LfseTxhHfwhLtqyYilyB-rIew3oL0AGwjjHxC8Agr2Y</recordid><startdate>20080901</startdate><enddate>20080901</enddate><creator>González-García, R</creator><creator>Sastre-Pérez, J</creator><creator>Rodríguez-Campo, F.J</creator><creator>Naval-Gías, L</creator><creator>Monje, F</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20080901</creationdate><title>C-modified osteotomy for bilateral advancement of the orbital rim in Graveś orbitopathy: a technical note</title><author>González-García, R ; Sastre-Pérez, J ; Rodríguez-Campo, F.J ; Naval-Gías, L ; Monje, F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-3bcf61d4a538b16b6b9a7912d759d912d6b71412a3e308103363c67ec7441db03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>bone graft</topic><topic>Decompression, Surgical - methods</topic><topic>Dentistry</topic><topic>Graves Ophthalmopathy - surgery</topic><topic>graves’ orbitopathy</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Ophthalmology</topic><topic>Orbit - surgery</topic><topic>Orbit diseases</topic><topic>orbital decompression</topic><topic>Orthopedic surgery</topic><topic>osteotomy</topic><topic>Osteotomy - instrumentation</topic><topic>Osteotomy - methods</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>proptosis</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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| subjects | Aged Biological and medical sciences bone graft Decompression, Surgical - methods Dentistry Graves Ophthalmopathy - surgery graves’ orbitopathy Humans Male Medical sciences Ophthalmology Orbit - surgery Orbit diseases orbital decompression Orthopedic surgery osteotomy Osteotomy - instrumentation Osteotomy - methods Otorhinolaryngology. Stomatology proptosis Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome Ultrasonic Therapy - instrumentation |
| title | C-modified osteotomy for bilateral advancement of the orbital rim in Graveś orbitopathy: a technical note |
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