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Advances in ophthalmic plastic and reconstructive surgery最新文献

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Blowout fracture of the orbit: mechanism and correction of internal orbital fracture. By Byron Smith and William F. Regan, Jr. 眼眶爆裂性骨折:眼眶内骨折的机制及矫治。拜伦·史密斯、小威廉·里根
Advances in ophthalmic plastic and reconstructive surgery Pub Date : 1987-01-01
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引用次数: 0
Orbital fractures: eyelid approach. 眼眶骨折:眼睑入路。
Advances in ophthalmic plastic and reconstructive surgery Pub Date : 1987-01-01
P F Garber
{"title":"Orbital fractures: eyelid approach.","authors":"P F Garber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Orbital floor fractures can be explored through the eyelid with a subciliary or a smile-crease incision. A two-plane incision is made to expose the orbital rim. Orbital contents are removed from the sinus, and an alloplastic implant is used to cover the fracture. The periosteum is closed over the implant. Fine suture material is used to close the skin. These approaches give good exposure of the orbital floor and excellent postoperative cosmesis.</p>","PeriodicalId":76979,"journal":{"name":"Advances in ophthalmic plastic and reconstructive surgery","volume":"6 ","pages":"365-75"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14579648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Orbital trauma, Part 1. 眼眶外伤，第一部分。
Advances in ophthalmic plastic and reconstructive surgery Pub Date : 1987-01-01
{"title":"Orbital trauma, Part 1.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76979,"journal":{"name":"Advances in ophthalmic plastic and reconstructive surgery","volume":"6 ","pages":"1-419"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14579767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Steroids and orbital blowout fractures--a new systematic concept in medical management and surgical decision-making. 类固醇和眶爆裂骨折——医学管理和手术决策中的一个新的系统概念。
Advances in ophthalmic plastic and reconstructive surgery Pub Date : 1987-01-01
A L Millman, R C Della Rocca, S Spector, A L Leibeskind, A Messina
{"title":"Steroids and orbital blowout fractures--a new systematic concept in medical management and surgical decision-making.","authors":"A L Millman,&nbsp;R C Della Rocca,&nbsp;S Spector,&nbsp;A L Leibeskind,&nbsp;A Messina","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thirty-eight patients with computed tomography (CT)-proven orbital fractures and diplopia were studied prospectively to determine the efficacy of steroids in the medical management of orbital fractures. The protocol is based on double-blind assignments to steroid (ST) and non-steroid (NT) treatment groups. Outcome analysis was based on sorting fractures into three CT classes: I-without soft tissue prolapse (n = 15); II-with soft tissue prolapse (n = 14); and III-CT evidence of inferior rectus entrapment (n = 9). Results included resolution of diplopia without surgery in both ST and NT groups in CT classes I and II. Median time course of resolution was compressed to less than 5 days in the ST treatment group, however, versus 13 days in the nontreatment group. All fractures in class III had residual diplopia with five of nine patients having surgical results that were enhanced in the ST treatment group. In addition, enophthalmos was unmasked in the ST treatment group within 1 week of treatment versus 5 months without treatment. A protocol for medical management and surgical decision-making in blowout fracture is presented.</p>","PeriodicalId":76979,"journal":{"name":"Advances in ophthalmic plastic and reconstructive surgery","volume":"6 ","pages":"291-300"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14579772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Orbital and periorbital dog bites. 眼眶和眼眶周围被狗咬伤。
Advances in ophthalmic plastic and reconstructive surgery Pub Date : 1987-01-01
R S Gonnering
{"title":"Orbital and periorbital dog bites.","authors":"R S Gonnering","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although periorbital and orbital dog bites are rare, they most frequently occur in young children and commonly involve significant associated adnexal injuries. In most cases, the dog is either the family pet or is otherwise known to the victim. The exact precipitating event is usually unknown. Most victims are treated by a physician soon after injury, and can be reconstructed primarily following meticulous local wound care, including adequate irrigation. Infection is rare, but because of its potentially disastrous consequences, prophylactic treatment with penicillinase-resistant penicillin or cephalosporin seems indicated. Serious, potentially fatal consequences due to underlying intracranial injury in children under aged 2 years, fatal septicemia in splenectomized individuals, tetanus, and rabies must be considered by ophthalmologists who treat such patients.</p>","PeriodicalId":76979,"journal":{"name":"Advances in ophthalmic plastic and reconstructive surgery","volume":"7 ","pages":"171-80"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14626700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Traumatized globes: evisceration vs enucleation vs nonsurgical camouflage. 创伤地球仪:摘除与去核与非手术伪装。
Advances in ophthalmic plastic and reconstructive surgery Pub Date : 1987-01-01
S L Bosniak
{"title":"Traumatized globes: evisceration vs enucleation vs nonsurgical camouflage.","authors":"S L Bosniak","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76979,"journal":{"name":"Advances in ophthalmic plastic and reconstructive surgery","volume":"7 ","pages":"279-81"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14626709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The fornix approach to the inferior orbit. 穹窿通向下眶。
Advances in ophthalmic plastic and reconstructive surgery Pub Date : 1987-01-01
J W Shore
{"title":"The fornix approach to the inferior orbit.","authors":"J W Shore","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The fornix or transconjunctival approach to the orbital floor and inferior orbit provides excellent exposure for the surgeon managing orbital fractures. The technique is ideally suited for patients with isolated blowout fractures; however, it can be combined with other surgical incisions to provide wide exposure of the inferior orbit, zygoma, and maxilla for the repair of more complex midfacial fractures. The surgical technique provides excellent access to the inferior orbit for biopsy or excision of orbital tumors and excellent opportunity for surgically augmenting orbits with posttraumatic enophthalmos or enophthalmos associated with anophthalmic sockets. Orbital decompression into the maxillary antrum and ethmoid sinus is easily accomplished through this incision. By avoiding a cutaneous incision in the lower eyelid, one reduces the risk for development of postoperative ectropion. During wound closure, the lower eyelid can be elevated and tightened and the canthal angle can be restored if necessary.</p>","PeriodicalId":76979,"journal":{"name":"Advances in ophthalmic plastic and reconstructive surgery","volume":"6 ","pages":"377-85"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14579650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of orbital floor blowout fractures. 眶底爆裂骨折的治疗。
Advances in ophthalmic plastic and reconstructive surgery Pub Date : 1987-01-01
A M Putterman
{"title":"Management of orbital floor blowout fractures.","authors":"A M Putterman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76979,"journal":{"name":"Advances in ophthalmic plastic and reconstructive surgery","volume":"6 ","pages":"281-5"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14579770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enucleation techniques: the Iowa implant. 去核技术:爱荷华种植体。
Advances in ophthalmic plastic and reconstructive surgery Pub Date : 1987-01-01
G S Weinstein
{"title":"Enucleation techniques: the Iowa implant.","authors":"G S Weinstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Iowa implant is a quasi-integrated implant with four mounds on its anterior surface. The rectus muscles are imbricated between the mounds, resulting in a socket with four protrusions that articulate with a custom-fitted prosthesis having four concavities. This imparts excellent motility and support for the prosthesis. This article describes the indications for enucleation, the Iowa implant, surgical technique, and postoperative complications.</p>","PeriodicalId":76979,"journal":{"name":"Advances in ophthalmic plastic and reconstructive surgery","volume":"7 ","pages":"263-77"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14626707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnosis and management of traumatic optic neuropathies. 外伤性视神经病变的诊断与治疗。
Advances in ophthalmic plastic and reconstructive surgery Pub Date : 1987-01-01
R E Frenkel, T C Spoor
{"title":"Diagnosis and management of traumatic optic neuropathies.","authors":"R E Frenkel,&nbsp;T C Spoor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>If a patient has vision immediately following trauma, with subsequent deterioration of visual acuity and/or field, and the presence of a relative afferent pupillary defect, compression of the optic nerve or its vascular supply is very likely. We currently lack a proven optimal treatment, but in the otherwise healthy patient, we suggest an intravenous (IV) loading dose of methylprednisolone 30 mg/kg, and a second 15-mg/kg dose 2 hours after the initial dose, followed by 15 mg/kg every 6 hours. Optic nerve decompression is indicated in this situation when corticosteroids have only a temporary effect, a diminishing one, or none at all. It may also be indicated when there is evidence of a traumatic optic neuropathy with a fractured or narrowed optic foramen or with dislocated bone fragments that directly impinge on the nerve. Optic nerve sheath decompression is indicated in progressive traumatic optic neuropathy when an enlarged fluid-filled sheath has been demonstrated sonographically.</p>","PeriodicalId":76979,"journal":{"name":"Advances in ophthalmic plastic and reconstructive surgery","volume":"6 ","pages":"71-90"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14458035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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