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Stomatologiia (Mosk) ; 98(1): 38-44, 2019.
Artículo en Ruso | MEDLINE | ID: mdl-30830092

RESUMEN

The aim of the study was the assessment of safety of posttraumatic orbital defect correction with bone autografts. The study comprised 69 patients divided in 2 groups: 21 patients with isolated orbital floor and medial wall deformities and 48 patients with complex midface injuries. Membranous bone autografts were used for deformities correction along with soft tissues hypercorrection with a mix of bone chips and platelet rich plasms. The paper presents diagnostic algorithm for orbital trauma patients. Correction of complex midfacial injuries in group 2 resulted in restricted ocular mobility and increase in diplopy square. Subciliary approach caused lower lid retraction deteriorating esthetic results of the surgery. Ocular vessels hemodynamics showed improvement 1 year after surgery.


Asunto(s)
Autoinjertos , Trasplante Óseo , Fracturas Orbitales , Humanos , Órbita/irrigación sanguínea , Órbita/lesiones , Órbita/cirugía
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