摘要:

Thirty-nine cases of orbital exenteration performed at the Orbital Unit of the University of Naples during a 10-year period are reviewed. The incidence of dural exposure and CSF leaks is evaluated and related to the different pathologies. The appropriate treatments of these complications are discussed.

ISSN:0740-9303    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Autogenous kinetic lipodermal implantation in the orbit is an effective postenucleation procedure that gives optimal socket volume, motility, and cosmesis. The major complication of autogenous lipodermal implantation is graft atrophy. Other minor complications are infection, hair retention, conjunctival cysts, wound dehiscence, and suture granuloma. We presented a systematic description of the technique emphasizing prevention of complications by proper selection of patients, meticulously performed surgery, and appropriate postoperative management. In particular, attention should be paid to atraumatic dissection of the socket—respecting surgical anatomy, hemostasis, identification and placement of sutures in the extraocular muscles, atraumatic and aseptic manipulation of the graft, and proper anastomsis of the graft to the recipient bed.

ISSN:0740-9303    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

We describe our technique of fat grafting by injection for the repair of facial contour deformities. The technique involves removal of fat by liposuction, treatment with insulin, and then injection into the area of contour deformity. The efficacy of insulin treatment remains unproven. Pre and post injected fat is examined histologically.

ISSN:0740-9303    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

The technique of split-thickness cranial bone graft for reconstructive orbital surgery, is reported in five patients who sustained extensive orbital trauma. This technique involves exposing the skull via a coronal scalp incision, after which the cranial bone is split in situ along the diploe. The outer table of the cranial bone is then used as a graft to correct orbital defects and other associated bony deformities. Cranial bone grafts have several advantages over other graft sites in orbital reconstruction, including more rapid postoperative recovery, close proximity of donor site to recipient site, and improved survival of cranial bone grafts in experimental studies. Cranial bone grafts are an important source of autogenous tissue for the reconstructive surgeon.

ISSN:0740-9303    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Subconjunctival orbital fat prolapse is a benign entity in which fat hemiates through Tenon's capsule. It is often confused with other lesions such as lacrimal gland tumors, lymphoid tumors and lipodermoids. The clinical and computed tomo-graphic findings in a series of IS patients are presented, and the features that are helpful in the differential diagnosis are discussed.

ISSN:0740-9303    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

The technique of subperiosteal implantation of multiple, small glass beads for correction of enophthalmos associated with anophthalmos was first described in 1967. Reported complications of this procedure include ptosis, anesthesia of the distribution of the supraorbital or infraorbital nerve, and migration of the implants into the orbit or sinuses. A case of orbital cellulitis has been reported. We now report a case in which the extremely serious complication of intracranial migration of glass bead implants, with subsequent cerebrospinal fluid leak, occurred 17 years postimplantation.

ISSN:0740-9303    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

We describe an unusual case of an aggressively invasive, recurrent xanthelasma palpebrarum which was unilateral in its occurrence. Despite characteristics that appeared malignantly invasive clinically, the lesion was benign. The surgical treatment consisted of wide excision and resurfacing of the eyelids with full-thickness skin grafts.

ISSN:0740-9303    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

The described silastic intubation method is workable and predictable and is an advisable therapeutic principle in congenital and acquired dacryostenoses. It represents a new method of introducing silastic tubing into the nasolacrimal excretory system.

ISSN:0740-9303    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

A 41-year-old obese man presented with bilateral ocular irritation and clinical findings consistent with floppy eyelid syndrome. Light- and electron-microscopic examination of tarsus removed at surgical correction revealed cystic degeneration and squamous metaplasia of the meibomian glands, along with abnormal keratinization and granuloma formation. These findings, not reported before in this syndrome, suggest that meibomian gland dysfunction with attendant qualitative abnormalities of the tear film, may be partly responsible for the keratoconjunctivitis seen in mis syndrome.

ISSN:0740-9303    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Intubation keeps the lacrimal system patent, and frequent irrigation removes detained debris. A temporary drainage and irrigation system was designed and led to a permanent success after revision of very complicated dacryocystorhinostomy obstruction recurrences in five of six cases.

ISSN:0740-9303    

出版商:OVID    

年代:1987

数据来源: OVID