ABSTRACT
A variety of autogenous materials may be used for orbital implantation in the anophthalmic socket. An understanding of the pathology of the socket is necessary to treat the problem correctly. Autogenous grafts have been used successfully to treat the superior sulcus deformity, extruding implant, and the contracting socket. The major advantages of autogenous material are its minimal inflammatory reaction and its total compatibility with the host.
Subject(s)
Eye Enucleation , Orbit/surgery , Tissue Transplantation , Humans , Prostheses and Implants , Prosthesis Failure , Surgery, Plastic , Transplantation, AutologousABSTRACT
Careful evaluation of the patient undergoing blepharoplasty should include an assessment of lacrimal gland position. Lacrimal gland prolapse, if uncorrected at the time of surgery, will result in lid asymmetry. The purpose of this article is to review the anatomy of the lacrimal gland, the causes of herniation, and the surgical management in conjunction with blepharoplasty.
Subject(s)
Eyelids/surgery , Lacrimal Apparatus Diseases/surgery , Adult , Female , Humans , Lacrimal Apparatus/anatomy & histology , Prolapse , Surgery, PlasticABSTRACT
The term naso-orbital fracture refers to the backward displacement of the nasal bones into the interorbital space. The fracture is most commonly the result of traumatic contact with the dashboard in automobile accidents. The trauma results in soft tissue eyelid deformities, which may also involve nasolacrimal disruption and life-threatening intracranial injury. Early management consists of closed reduction of the nasal fracture when feasible. Late management, which is more common, consists of transnasal wiring, restoration of the nasolacrimal apparatus, and contouring of the nasal bones.
Subject(s)
Nasal Bone/injuries , Orbital Fractures/surgery , Skull Fractures/surgery , Bone Wires , Humans , Methods , Postoperative ComplicationsABSTRACT
The approach to the surgical management of the contracted eye socket requires a good patient history and preliminary evaluation. Upon assessing the extent of socket contraction, the surgeon has at his disposal several procedures. For moderate socket contraction, a mucous membrane graft may be employed. For severe contraction, split thickness skin graft and a socket mold wired to the orbital rim is advocated. For the extruding or exposed implant, a dermal-far graft is recommended.
Subject(s)
Contracture/surgery , Eye, Artificial/adverse effects , Ophthalmologic Surgical Procedures , Humans , Methods , Skin Transplantation , Surgical FlapsABSTRACT
A 58-year-old woman had the sudden onset of unilateral painful proptosis, ophthalmoplegia, vomiting, and loss of vision. Computed axial tomography showed a mass that was greatly attenuated in the orbit. The initial reading of the internal carotid angiogram was normal, but a subtraction study showed a hypervascular lesion within the orbit with features indicating a hemangioma. Orbital decompression failed to restore the vision as intraorbital hemorrhage had irreparably damaged the optic nerve.
Subject(s)
Hemorrhage/diagnosis , Nerve Compression Syndromes/etiology , Optic Nerve , Orbit , Carotid Arteries/diagnostic imaging , Female , Hemangioma/complications , Hemorrhage/complications , Hemorrhage/surgery , Humans , Middle Aged , Orbital Neoplasms/complications , Subtraction Technique , Tomography, X-Ray ComputedABSTRACT
Adenoid cystic carcinoma of the paranasal sinuses was demonstrated in a patient who subsequently developed a metastatic lesion to both orbits resulting in total blindness. While there are reports of extension of adenoid cystic carcinoma of the lacrimal gland to the adjacent orbit, this patient is an example of orbital extension of an adenoid cystic carcinoma of minor salivary gland originating in a paranasal sinus. The frequency and classification of this tumor also is reviewed.
