6,452 results match your criteria: "Fracture Orbital"

Management of adverse effects following additively manufactured subperiosteal jaw implantation in the maxilla.

J Stomatol Oral Maxillofac Surg

December 2024

Face Ahead® Surgicenter, Belgium and Ziekenhuis aan de Stroom, Campus GZA, B-2018, Antwerp, Belgium. Electronic address:

Objective: This expert opinion presents provisional guidelines for addressing complications associated with Additively Manufactured Subperiosteal Jaw Implants (AMSJI®) in patients with severe maxillary atrophy. AMSJI®'s custom design, supported by finite element analysis (FEA), allows precise placement that avoids critical anatomical structures and minimizes complications relative to alternative solutions.

Materials And Methods: Data were gathered through firsthand experiences, direct communications, and insights from international workgroup meetings.

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The Orbitomalar Ligament: A Cleavage Plane in Oculofacial Trauma.

Ophthalmic Plast Reconstr Surg

December 2024

Section of Ophthalmology, Department of Surgery.

We describe an oculofacial injury phenotype manifesting as a cleavage plane following the orbitomalar ligament in 5 cases. Across these cases, curvilinear wounds followed the course of the orbitomalar ligament, running clean planes through orbicularis oculi down to the infraorbital rim and arcus marginalis. One case involved bilateral orbitomalar ligaments, and 1 case involved the inferior canaliculus.

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Purpose: The purpose of this study was to evaluate the clinical features, surgical treatments, and outcomes of pediatric post-traumatic nasolacrimal duct obstructions and predictors for surgical outcomes.

Methods: A retrospective chart review was performed of patients under the age of 18 years with the diagnosis of traumatic nasolacrimal duct obstructions during an 11-year period from a tertiary referral center. The clinical data were reviewed and analyzed.

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Introduction: To report 5 cases of concomitant traumatic macular hole (TMH) and orbital fracture, and discuss its incidence.

Methods: This was a retrospective, observational study including all patients with orbital fracture who were referred to us from May 2013 to December 2023. Axial and coronal orbital computed tomographic images with bone and soft tissue window algorithms and optical coherence tomographic images were obtained from all patients.

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Declining Blowout Fracture Cases and Rising Costs in South Korea (2010-2023).

J Craniofac Surg

December 2024

Department of Plastic and Reconstructive Surgery, Ewha Womans University Seoul Hospital, College of Medicine, Ewha Womans University, Seoul, Republic of Korea.

Objective: Blowout fractures are a significant component of maxillofacial trauma care, but their incidence appears to be declining in South Korea. This study aims to investigate the trends in blowout fracture cases from 2010 to 2023 and assess the implications for plastic and reconstructive surgery, as well as the financial burden on patients.

Methods: A retrospective observational study was conducted using data from the Health Insurance Review and Assessment Service in South Korea.

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The Clinical Features and Surgical Outcomes of Traumatic Optic Neuropathy in Pediatric Patients.

J Craniofac Surg

December 2024

Department of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

This study aimed to examine the clinical features and assess the surgical outcomes of traumatic optic neuropathy in pediatric patients. A retrospective analysis was conducted on the clinical data of 15 cases (17 eyes) of traumatic optic neuropathy in pediatric patients aged 1 to 6 years between January 2015 and July 2024. Two of them presented with binocular trauma, resulting in a total of 17 affected eyes.

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Reconstructing the orbit following complex craniofacial fractures presents significant challenges. Throughout the years, several materials have been used for orbital reconstruction, taking into account factors such as their durability, compatibility with living tissue, cost efficiency, safety, and capacity to be adjusted during surgery. Nevertheless, a consensus has not yet been reached on the optimal material for orbital restoration.

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Objective: To evaluate the impact of Medpor implantation on extraocular muscle function, eye movement disorders, and diplopia in patients with orbital wall fracture.

Methods: A retrospective study was conducted on 98 patients (98 eyes) who underwent Medpor implantation surgery at Bethune International Peace Hospital from January 2019 to December 2022. The degree of eyeball enophthalmos and total fracture area in patients before and after surgery, as well as orbital volume were measured.

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A Case of Saturday Night Retinopathy Following Postoperative Orbital Compression Bandaging: Diagnosis and Evaluation Using Multimodal Imaging.

Photodiagnosis Photodyn Ther

December 2024

Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 384300, China. Electronic address:

We report a rare case of Saturday Night Retinopathy (SNR) following postoperative orbital compression bandaging, highlighting the value of multimodal imaging in diagnosis and management. A 24-year-old male underwent surgical repair of an inferior orbital wall fracture with an absorbable implant, followed by compression bandaging of the right eye for three days. Upon bandage removal, the patient experienced a significant drop in visual acuity (VA) from 20/20 to 20/200.

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Purpose: To assess the anatomical and functional outcomes in patients who underwent surgery for canalicular laceration and did not experience significant epiphora, and to compare these outcomes with contralateral uninjured eye.

Method: Dacryoscintigraphy, anterior segment optical coherence tomography (OCT), MUNK scores, and a satisfaction questionnaire were administered to 24 patients who had canalicular laceration repair without significant epiphora and had a minimum of 6 months of follow-up. Tear meniscus height (TMH), depth (TMD), and area (TMA) were measured using anterior segment OCT and compared with the values in the uninjured eye.

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Introduction: This study aimed to analyse the clinical characteristics of open globe injury (OGI) in children under six.

Methods: A retrospective analysis was conducted on the medical data of children with OGI admitted to the Eye Center of the Second Hospital of Jilin University, China, between 1 January 2012 and 31 December 2020.

Results: The study included 106 children, with 61 males (57.

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Patterns of Orbital Fractures Caused by Sports Injuries in Children.

J Oral Maxillofac Surg

November 2024

Associate Professor in Oral and Maxillofacial Surgery and Pediatrics, Department of Surgery, Emory University School of Medicine, Chief of Oral and Maxillofacial Surgery, Children's Healthcare of Atlanta, Atlanta, GA.

Background: Sports injuries account for 11.3 to 42.1% of the facial fractures.

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Military conflicts, terrorist attacks and wars around the world pose a wide range of questions to the medical community about providing medical care to military personnel and civilians with mine-explosive trauma, which is characterized by simultaneous damage of various anatomical areas, including the maxillofacial region. The purpose of this work was to describe a case from practice of treating a patient with a mine-explosive trauma, which manifested by a fracture of the right zygomatic-orbital complex and the upper jaw on the right. Using own case from practice, the authors showed that the treatment of patients with mine-explosive trauma of the maxillofacial region is long-term, multi-stage and should take place in a specialized hospital with the involvement of a team of multidisciplinary specialists.

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Objective: To examine associations between socioeconomic status (SES), as evaluated by the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry Social Vulnerability Index (SVI) and Distressed Communities Index (DCI), and the characteristics of open globe injury (OGI).

Subjects/methods: Retrospective review of electronic medical records for patients treated for OGI at an academic Level I trauma centre between May 2009 and March 2021. Patient data included age, date of injury, mechanism of injury, visual acuity at presentation, concomitant orbital wall fracture, and ocular trauma score (OTS).

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This article discusses the application of three-dimensional (3D) printing in reconstructing the orbital floor of a middle-aged male patient who suffered an orbital fracture due to a fall. A virtual 3D model of the fractured orbit was created using open-source software, allowing for the planning of the defect reconstruction by mirroring the contralateral orbit. A metal reconstruction plate was then molded based on the 3D printed model, sterilized, and utilized during surgery, which resulted in reduced surgical time and improved adaptation.

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Purpose: Despite there being different materials for orbital floor reconstruction available today, outcomes are still not satisfying. In recent years, ultra-high molecular weight polyethylene (UHMWPE) has gained popularity in the field of orthopedic surgery due to its good biocompatibility and low infection rate. With its three-dimensional compound structure, it combines high stability and ductility, making it a potential material to be used for orbital floor reconstruction.

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Article Synopsis
  • Road traffic accidents can cause severe eye injuries, potentially leading to blindness, with a focus on individuals involved in motorcycle accidents in Tamil Nadu, India.
  • A study involving 67 accident victims revealed that most were middle-aged males who often rode without helmets and were frequently under the influence of alcohol.
  • Key findings indicated that over half experienced compromised vision, while many suffered from orbital fractures and other significant eye injuries, highlighting a need for targeted public health interventions.
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Article Synopsis
  • - This study looked at how well patients’ bones realigned after surgery for orbital blowout fractures, using follow-up CT scans to measure outcomes at least four months post-surgery.
  • - A total of 48 patients were analyzed, and results showed that most had complete bony reduction except those with complications, where significant issues arose with bony coverage.
  • - The findings indicated that younger patients had better outcomes with complete bony coverage, while partial or no coverage was more common in those experiencing complications.
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Periorbital emphysema following nose blowing or sneezing is rare. Although it is often self-limiting, air trapping in the orbit can raise the intraocular pressure leading to visual complications. At present, the literature on this topic is confined to case reports.

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Trainee experience in virtual reality simulation in orbital surgery.

Orbit

November 2024

Department of Ophthalmology, Illinois Eye and Ear Infirmary, University of Illinois-Chicago, Chicago, Illinois, USA.

Purpose: To demonstrate the role of Virtual Reality (VR) in orbital surgery as an educational tool for surgical trainees.

Methods: A single-center prospective study was conducted from February 2021 to April 2023. Pre-operative magnetic resonance imaging and computed tomography scans were used to create patient-specific VR models of the orbit using ImmersiveTouch Software.

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To know the clinical signs and radiological findings of different types of maxillofacial fractures following facial trauma in road traffic accidents. In this retrospective study, the medical records and computerized tomography scans of 100 patients who have sustained facial fractures in road traffic accident during 2021-2022 were reviewed at Raichur Institute of Medical Sciences, Raichur; for maxillofacial fractures. Data was tabulated and statistically analysed using SPSS software version 21.

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Epidemiology of motor vehicle accident-associated ocular trauma.

Int Ophthalmol

November 2024

Institute of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Doctor's Office Center, Suite- 6100, 90 Bergen Street, Newark, NJ, 07103, USA.

Article Synopsis
  • The study aimed to analyze trends in ocular trauma from motor vehicle accidents (MVAs) involving the drivers between 2007 and 2014 using national trauma data.
  • Results showed a 25.3% increase in MVA-associated ocular injuries over the eight years, with men representing the majority of cases and orbital floor fractures being the most common type of injury.
  • Although the overall mortality rate was 4.3%, older adults faced higher risks, especially regarding open globe injuries and other severe ocular trauma.
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