A Safer and Easier Method to Open the Orbital Septum: Septal Ballooning.

IF 1.3 4区 医学 Q3 OPHTHALMOLOGY
Junghoon Kim, Yeshin Kim, Kyung In Woo
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引用次数: 0

Abstract

Purpose: To introduce a novel septal ballooning technique for orbital septum dissection during surgery.

Methods: The study comprised 18 patients (30 eyes) who underwent septal ballooning at Gachon Gil Hospital, Incheon, South Korea, between September 2023 and January 2024. The technique involves injecting room air beneath the orbital septum, a pneumodissection, to separate it from surrounding structures, enhancing visualization during dissection. Data collected included patient demographics, preoperative diagnoses, and postoperative complications. Intraoperative levator aponeurosis injury and postoperative complications were reported.

Results: Septal ballooning was successfully performed on all patients, with no intraoperative injuries to the levator aponeurosis. Postoperative CT imaging revealed minor orbital emphysema in 3 cases (4 eyes), which resolved spontaneously without intervention. There were no reports of significant complications such as visual sequelae or infections. The technique facilitated clear identification and dissection of the orbital septum, reducing intraoperative difficulty.

Conclusions: The septal ballooning technique is an effective alternative method for orbital septum dissection, offering improved anatomical visualization and reduced intraoperative complexity. This method enhances the precision and safety of procedures involving the orbital septum and is a valuable addition to surgical practice.

一种更安全、更容易打开眶隔的方法:鼻中隔球囊术。
目的:介绍一种新的眶隔球囊技术,用于眶隔术中分离。方法:该研究包括18例(30只眼)患者,于2023年9月至2024年1月在韩国仁川Gachon Gil医院接受了鼻中隔气囊术。该技术包括在眶隔下注入室内空气,一种气性分离,将其与周围结构分离,增强分离过程中的可视化。收集的数据包括患者人口统计、术前诊断和术后并发症。报告术中提肌腱膜损伤及术后并发症。结果:所有患者均成功行中隔球囊术,术中无提肌腱膜损伤。术后CT示轻度眼眶肺气肿3例(4眼),无干预自行消退。没有明显的并发症,如视觉后遗症或感染的报道。该技术有助于清晰地识别和剥离眶隔,降低术中难度。结论:鼻中隔球囊技术是眼眶鼻中隔分离的有效替代方法,可改善解剖可视化并降低术中复杂性。这种方法提高了涉及眶隔手术的准确性和安全性,是外科实践中有价值的补充。
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来源期刊
CiteScore
2.50
自引率
10.00%
发文量
322
审稿时长
3-8 weeks
期刊介绍: Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.
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