Enoftalminin düzeltilmesi için alternatif bir yaklaşım: Derin lateral orbita girişlimi

Yıl 2006, Cilt: 16 Sayı: 4, 189 - 192, 27.08.2006

Burçak Tümerdem İsmail Kuran

Öz

Orbita tabanı kırıklarından sonra yetersiz kemik re- konstrüksiyonuna bağlı orbita volümünde artış enoftal- miye yol açabilir. Enoftalmi için bir diğer neden ise or- bita volüm kaybıdır. Geçirdiği travma ve bunu izleyen üç ameliyat sonrası orbita çevresi deformiteleri nede- niyle başvuran 33 yaşındaki kadın hastanın muayene- sinde, enoftalmi, vertikal yönde distopi ve “lateral scle- ral show” deformitesi saptandı. Birinci seansta kraniyal kemik grefti ile orbita tabanı güçlendirilerek vertikal dis- topi düzeltildi. Enoftalminin istenen ölçülerde düzelme- mesi nedeniyle derin lateral orbital duvar yaklaşımı kullanılarak orbita volümü artırıldı. Ameliyat sonrası dönemde, buz tatbiki ile kontrol altına alınan ödem dı- şında hastanın herhangi bir yakınması olmadı

Anahtar Kelimeler

Enoftalmi/cerrahi, gözkapağı/cerrahi, orbital kırık/cerrahi, protez ve implant.

An alternative method for the correction of enophthalmos: deep lateral orbital approach

Öz

Both increased orbital volüme due to inadequate orbital floor reconstruction and loss of orbital volüme may result in enophthalmos. Enophthalmos, vertical dystopia, and “lateral scleral show” deformity were detected in a 33-year-old female patient who pre- sented with periorbital deformities after three opera- tions for the correction of traumatic zygomatic frac- ture. First, vertical dystopia was repaired by rein- forcing the orbital base with cranial bone grafting.Since enophthalmos was not successfully corrected, orbital volüme augmentation was performed using the deep lateral wall through an upper eyelid crease incision. The only postoperative complaint was edema which was controlled by application of ice.

Anahtar Kelimeler

Enophthalmos/surgery, eyelids/surgery, orbital fractures/surgery, prostheses and implants

Kaynakça

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