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Lateral tarsal strip technique for lower lid ectropion and entropion
1322
21st ICOMS 2013 - Abstracts: Oral Papers
T25.OR001
T25.OR003 Lateral tarsal strip technique for lower lid ectropion and entropion
T25. Orbital Pathology Pseudo-superior orbital fissure syndrome secondary to oxidized regenerated cellulose case report H. Al-Bargi Saudi Commission for Health Specialties Dr. Sulman Fakeeh Hospital Jeddah, Saudi Arabia This is a case report of Iatrogenic pseudo-superior orbital fissure syndrome after use of oxidized regenerated cellulose ‘surgicel (Johnson & Johnson)’ in orbital reconstruction surgery. As unexpected temporarily effect of the use of surgicel in this area. Also the important of this case not has been mentioned in the literature related to the surgical usage, complications and the management. This is a unique case. http://dx.doi.org/10.1016/j.ijom.2013.07.519 T25.OR002 Orbital marginotomies
N. Fradinho ∗ , A. Pereira, D. Rasteiro, J. Sousa, N. Tojo, J. Martins, J. Ferreira, M.A. Almeida Centro Hospitalar de Lisboa Central, Portugal Introduction: Despite being different clinical entities, ectropion and entropion present similar pathogenesis and can be treated based in common principles. Lateral Tarsal Strip Technique (LTS) is a simple procedure to treat ectropion and entropion of multiple causes. Methods: We present a series of case reports that example the versatility of LTS: involutional ectropion, involutional entropion, and facial palsy. Results/discussion: In ectropion and ectropion, the increase of horizontal and vertical tissue laxity are responsible for the unbalanced forces that define the abnormal lid position. LTS directly shortens the horizontal dimension of the lower lid and, indirectly, shortens the diagonal dimension of septum orbitale and lid retractours. This way, both horizontal and vertical heights are reduced, and lacrimal point repositioned. Patients with facial palsy have upper and lower lid retraction, associated with horizontal laxity, leading to lower lid ectropion, lagopthalmos and risk of keratitis. LTS decreases the lid vertical aperture with benefits in ocular protection, lubrication and tear clearing. Conclusion: LTS is a simple technique that can be used for correction of lower lid ectropion and entropion of different ethiology, allowing rapid rehabilitation and good functional and aesthetical results. It can be combined with other techniques, when needed, for ideal result achievement. http://dx.doi.org/10.1016/j.ijom.2013.07.521
P. de Leyva 1,∗ , M. Herrero 1 , G. García-Serrano 1 , K. Sagüillo 1 , D. Villegas 1 , F. Pérez-Flecha 1 , D. Sánchez-Jáuregui 1 , J.M. Eslava 1 , M. Sales 2 , J. Acero 1
T25.OR004
1 Cirugía
Description and evaluation of post-operative orbital hematomas after surgical orbital procedures
2
Oral y Maxilofacial, Hospital Universitario Ramón y Cajal, Spain Oftalmología, Hospital Universitario Ramón y Cajal, Spain
Background and objectives: Orbital tumours can be approached in several ways, but the orbital rims are often an obstacle to the surgeon’s direct visualization and access, especially if the lesion is deep within the orbit. Orbital osteotomies allowing removal of various segments of the orbital rim improve exposure and control. The author’s aim is to review a series of 8 cases of orbital lesions in which surgical access included temporary removal of orbital rim segments. Methods: A retrospective review of 8 cases of orbital tumours was made. In all cases tumour approach was based on temporary removal and replacement of orbital rim segments. Results: Out of the 8 tumours, 6 were approached using a lateral marginotomy (75%), 1 using a combined lateral marginotomy and pterional approach (12.5%) and 1 using a superior marginotomy. Functional and cosmetic results were good in all cases and no complications were found. Conclusions: Orbital marginotomies are a useful tool for the surgical management of orbital tumours. An appropriate temporary marginotomy improves exposure and access to the operating site. As the fragments of bone are replaced at the end of the procedure, no cosmetic or functional damage is caused. Key words: orbital marginotomy; orbital tumours; orbital surgery
L. Guyot 1,∗ , N. Dumont 1,2,3 , J.M. Foletti 1,2,3 , G. Thiery 2 , C. Chossegros 3 1 Department 2 3
of Maxillofacial and Plastic Surgery, North University Hospital Marseille, France Department of Maxillofacial and Plastic Surgery, Military Hospital Marseille, France Department Maxillofacial Surgery, Timone Hospital Marseille, France
Aim: Describe and evaluate the incidence of orbital haematomas following a surgical orbital procedures. Method: Clinical presentation, treatment and outcome were collected after 280 orbital surgical procedures. Results: Three cases of post-operative hematomas were observed as follows: 2 following an orbital fractures and 1 following an orbital osteotomy. Orbital drainage was successfully performed and visual recovery occured in all cases. Conclusion: Post-operative orbital hematomas are rare complications. Surgical drainage must be undertaken as soon as possible after the diagnosis has been done. http://dx.doi.org/10.1016/j.ijom.2013.07.522
http://dx.doi.org/10.1016/j.ijom.2013.07.520
21st ICOMS 2013 - Abstracts: Oral Papers
T25.OR001
T25.OR003 Lateral tarsal strip technique for lower lid ectropion and entropion
T25. Orbital Pathology Pseudo-superior orbital fissure syndrome secondary to oxidized regenerated cellulose case report H. Al-Bargi Saudi Commission for Health Specialties Dr. Sulman Fakeeh Hospital Jeddah, Saudi Arabia This is a case report of Iatrogenic pseudo-superior orbital fissure syndrome after use of oxidized regenerated cellulose ‘surgicel (Johnson & Johnson)’ in orbital reconstruction surgery. As unexpected temporarily effect of the use of surgicel in this area. Also the important of this case not has been mentioned in the literature related to the surgical usage, complications and the management. This is a unique case. http://dx.doi.org/10.1016/j.ijom.2013.07.519 T25.OR002 Orbital marginotomies
N. Fradinho ∗ , A. Pereira, D. Rasteiro, J. Sousa, N. Tojo, J. Martins, J. Ferreira, M.A. Almeida Centro Hospitalar de Lisboa Central, Portugal Introduction: Despite being different clinical entities, ectropion and entropion present similar pathogenesis and can be treated based in common principles. Lateral Tarsal Strip Technique (LTS) is a simple procedure to treat ectropion and entropion of multiple causes. Methods: We present a series of case reports that example the versatility of LTS: involutional ectropion, involutional entropion, and facial palsy. Results/discussion: In ectropion and ectropion, the increase of horizontal and vertical tissue laxity are responsible for the unbalanced forces that define the abnormal lid position. LTS directly shortens the horizontal dimension of the lower lid and, indirectly, shortens the diagonal dimension of septum orbitale and lid retractours. This way, both horizontal and vertical heights are reduced, and lacrimal point repositioned. Patients with facial palsy have upper and lower lid retraction, associated with horizontal laxity, leading to lower lid ectropion, lagopthalmos and risk of keratitis. LTS decreases the lid vertical aperture with benefits in ocular protection, lubrication and tear clearing. Conclusion: LTS is a simple technique that can be used for correction of lower lid ectropion and entropion of different ethiology, allowing rapid rehabilitation and good functional and aesthetical results. It can be combined with other techniques, when needed, for ideal result achievement. http://dx.doi.org/10.1016/j.ijom.2013.07.521
P. de Leyva 1,∗ , M. Herrero 1 , G. García-Serrano 1 , K. Sagüillo 1 , D. Villegas 1 , F. Pérez-Flecha 1 , D. Sánchez-Jáuregui 1 , J.M. Eslava 1 , M. Sales 2 , J. Acero 1
T25.OR004
1 Cirugía
Description and evaluation of post-operative orbital hematomas after surgical orbital procedures
2
Oral y Maxilofacial, Hospital Universitario Ramón y Cajal, Spain Oftalmología, Hospital Universitario Ramón y Cajal, Spain
Background and objectives: Orbital tumours can be approached in several ways, but the orbital rims are often an obstacle to the surgeon’s direct visualization and access, especially if the lesion is deep within the orbit. Orbital osteotomies allowing removal of various segments of the orbital rim improve exposure and control. The author’s aim is to review a series of 8 cases of orbital lesions in which surgical access included temporary removal of orbital rim segments. Methods: A retrospective review of 8 cases of orbital tumours was made. In all cases tumour approach was based on temporary removal and replacement of orbital rim segments. Results: Out of the 8 tumours, 6 were approached using a lateral marginotomy (75%), 1 using a combined lateral marginotomy and pterional approach (12.5%) and 1 using a superior marginotomy. Functional and cosmetic results were good in all cases and no complications were found. Conclusions: Orbital marginotomies are a useful tool for the surgical management of orbital tumours. An appropriate temporary marginotomy improves exposure and access to the operating site. As the fragments of bone are replaced at the end of the procedure, no cosmetic or functional damage is caused. Key words: orbital marginotomy; orbital tumours; orbital surgery
L. Guyot 1,∗ , N. Dumont 1,2,3 , J.M. Foletti 1,2,3 , G. Thiery 2 , C. Chossegros 3 1 Department 2 3
of Maxillofacial and Plastic Surgery, North University Hospital Marseille, France Department of Maxillofacial and Plastic Surgery, Military Hospital Marseille, France Department Maxillofacial Surgery, Timone Hospital Marseille, France
Aim: Describe and evaluate the incidence of orbital haematomas following a surgical orbital procedures. Method: Clinical presentation, treatment and outcome were collected after 280 orbital surgical procedures. Results: Three cases of post-operative hematomas were observed as follows: 2 following an orbital fractures and 1 following an orbital osteotomy. Orbital drainage was successfully performed and visual recovery occured in all cases. Conclusion: Post-operative orbital hematomas are rare complications. Surgical drainage must be undertaken as soon as possible after the diagnosis has been done. http://dx.doi.org/10.1016/j.ijom.2013.07.522
http://dx.doi.org/10.1016/j.ijom.2013.07.520