Abstract
Background: Orbital blowout fracture is a relatively common but challenging entity in the field of traumatology. Serious sequels may occur as a consequence of poor visualization or an inappropriate operative maneuver. We herein propose a modified technique featuring routine use of orbitotomy with temporary placement of a silicone shell as the guide template and soft-tissue barricade, thereby facilitating the mesh plate fashioning and expediting the implantation process. Methods: Eleven patients underwent orbital floor open reconstruction with titanium orbital mesh plate implantation between January 2010 and December 2011. After thorough release of the herniated contents from entanglement, we tailored a silicone guide according to the size and shape of the defect and inserted it into the orbital cavity to hold up the soft-tissue contents. Another copy of silicone shell with exactly the same configuration was produced and taken as a reference to formulate the titanium plate. We removed this holding silicone guide after the placement of the orbital plate, avoiding incarceration between the plate and the herniated contents. Results: Follow-up computed tomography scans 3 months after surgery demonstrated adequate reduction of the herniated contents. The patients were spared from complications such as diplopia or enophthalmos. Conclusion: This innovative technique helps to simplify the operation, avoids complications, and is easily practicable.
| Original language | English |
|---|---|
| Pages (from-to) | 99-104 |
| Number of pages | 6 |
| Journal | Formosan Journal of Surgery |
| Volume | 47 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 2014 Jan 1 |
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All Science Journal Classification (ASJC) codes
- Surgery
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An innovative technique in orbital floor reconstruction avoiding complications : Temporary use of the silicone guide. / Chang, Tzu Yen; Lee, Jing-Wei.
In: Formosan Journal of Surgery, Vol. 47, No. 3, 01.01.2014, p. 99-104.Research output: Contribution to journal › Article
TY - JOUR
T1 - An innovative technique in orbital floor reconstruction avoiding complications
T2 - Temporary use of the silicone guide
AU - Chang, Tzu Yen
AU - Lee, Jing-Wei
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Background: Orbital blowout fracture is a relatively common but challenging entity in the field of traumatology. Serious sequels may occur as a consequence of poor visualization or an inappropriate operative maneuver. We herein propose a modified technique featuring routine use of orbitotomy with temporary placement of a silicone shell as the guide template and soft-tissue barricade, thereby facilitating the mesh plate fashioning and expediting the implantation process. Methods: Eleven patients underwent orbital floor open reconstruction with titanium orbital mesh plate implantation between January 2010 and December 2011. After thorough release of the herniated contents from entanglement, we tailored a silicone guide according to the size and shape of the defect and inserted it into the orbital cavity to hold up the soft-tissue contents. Another copy of silicone shell with exactly the same configuration was produced and taken as a reference to formulate the titanium plate. We removed this holding silicone guide after the placement of the orbital plate, avoiding incarceration between the plate and the herniated contents. Results: Follow-up computed tomography scans 3 months after surgery demonstrated adequate reduction of the herniated contents. The patients were spared from complications such as diplopia or enophthalmos. Conclusion: This innovative technique helps to simplify the operation, avoids complications, and is easily practicable.
AB - Background: Orbital blowout fracture is a relatively common but challenging entity in the field of traumatology. Serious sequels may occur as a consequence of poor visualization or an inappropriate operative maneuver. We herein propose a modified technique featuring routine use of orbitotomy with temporary placement of a silicone shell as the guide template and soft-tissue barricade, thereby facilitating the mesh plate fashioning and expediting the implantation process. Methods: Eleven patients underwent orbital floor open reconstruction with titanium orbital mesh plate implantation between January 2010 and December 2011. After thorough release of the herniated contents from entanglement, we tailored a silicone guide according to the size and shape of the defect and inserted it into the orbital cavity to hold up the soft-tissue contents. Another copy of silicone shell with exactly the same configuration was produced and taken as a reference to formulate the titanium plate. We removed this holding silicone guide after the placement of the orbital plate, avoiding incarceration between the plate and the herniated contents. Results: Follow-up computed tomography scans 3 months after surgery demonstrated adequate reduction of the herniated contents. The patients were spared from complications such as diplopia or enophthalmos. Conclusion: This innovative technique helps to simplify the operation, avoids complications, and is easily practicable.
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UR - http://www.scopus.com/inward/citedby.url?scp=84903784542&partnerID=8YFLogxK
U2 - 10.1016/j.fjs.2014.02.002
DO - 10.1016/j.fjs.2014.02.002
M3 - Article
AN - SCOPUS:84903784542
VL - 47
SP - 99
EP - 104
JO - Formosan Journal of Surgery
JF - Formosan Journal of Surgery
SN - 1682-606X
IS - 3
ER -