RESUMO
Orbital exenteration refers to the surgical removal of the entire eyeball and its surrounding periorbital structures. The extent of surgical ablation is individualized for each patient and may include removal of periorbital skin, adnexal soft tissue, periorbita, extraocular muscles, orbital fat, the globe, the optic nerve, 1 or more of the bony orbital walls, and the paranasal sinuses (Ophthalmic Oncology 2011; 285). An external approach of orbital exenteration involves retracting the orbital contents within a nonexpandable bony orbit. Orbital pressure would be more raised for patients with orbital tumors or malignant tumors with orbital involvement. In such conditions, retraction of the orbital contents may be difficult. We describe a simple preliminary step, which may be used to facilitate orbital retraction during exenteration.
Assuntos
Exenteração Orbitária/métodos , Perda Sanguínea Cirúrgica , Córnea/cirurgia , Humanos , Pressão Intraocular , Masculino , Músculos Oculomotores/cirurgia , Sucção/instrumentaçãoRESUMO
We report a case of plate-guided distraction osteogenesis to reconstruct a large mandibular defect caused by recurrence of an ameloblastoma in a 17-year-old male patient who had previously had reconstruction using a fibula bone graft.
Assuntos
Ameloblastoma/cirurgia , Placas Ósseas , Mandíbula/cirurgia , Neoplasias Mandibulares/cirurgia , Osteogênese por Distração/métodos , Procedimentos de Cirurgia Plástica/métodos , Adolescente , Humanos , MasculinoRESUMO
Sialocele formation is a recognised complication of parotid surgery. The initial management is usually conservative and often effective. We present a novel method that utilises an intra-oral approach and pig-tail catheter for safely and rapidly draining a large persistent sialocele. It is particularly appropriate when other methods have failed and the skin is at risk of breakdown.
