An innovative technique in orbital floor reconstruction avoiding complications: Temporary use of the silicone guide

Tzu Yen Chang, Jing-Wei Lee

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 languageEnglish
Pages (from-to)99-104
Number of pages6
JournalFormosan Journal of Surgery
Volume47
Issue number3
DOIs
Publication statusPublished - 2014 Jan 1

Fingerprint

Silicones
Titanium
Enophthalmos
Orbital Fractures
Traumatology
Diplopia
Tomography

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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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.",
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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 journalArticle

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