Method of dynamic elimination of posttraumatic enophtalmos
- Authors: Bakushev A.P.1, Sivolapov K.A1
-
Affiliations:
- Novokuznetsk State Institute of Postgraduate Medicine
- Issue: Vol 20, No 2 (2016)
- Pages: 78-82
- Section: Articles
- URL: https://journals.rcsi.science/1728-2802/article/view/42055
- DOI: https://doi.org/10.18821/1728-28022016;20(2):78-82
- ID: 42055
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Abstract
The purpose of this research paper is optimization of surgical methods of treatment of patients with fractures, defects and deformities of orbital wall with a possibility of dynamic reversal of enophthalmos in postoperative period. In the Department of Oral and Maxillofacial Surgery in Novokuznetsk State Institute of Postgraduate Medicine was developed a method of abolition ofposttraumatic enophthalmos. The method is a discission 5 mm above mucogingivalfold in area from second to six molar region in the upperjaw and windowing to anteroexternal maxillary sinus wall. Into sinus cavity is inserted a G - type titanium mini plate with silicone slab and metallic support. G - type titanium mini plate has short and long parts which are deflected 90-110°. In the long part of miniplate there is a hole for a screw, in the short one there are holes for suture to fasten a silicone slab. A support is placed to lower third of burr hole and fixed with screws to anteroexternal maxillary sinus wall. The silicone slab is joined to the short part of G - type titanium mini plate and this part is got to the orbital floor defect. The long part is placed above the support andfixed to the upper ridge with a screw. Screwing in a long part is pressed on the bone and thus a short part is put in motion and shift an eyebulb up and forward. Early postoperative complications are not observed. Late postoperative complication in 1 month after surgery was changing the position of the eyeball downward 2 mm. Produced the correction position of the eyeball. In that way this method of treatment of orbital wall fractures and defects allows to reach a constant and strong fixation of bone fragments, management of an eyebulb position displacement due to made lever system not only in surgical treatment but in postoperative period.
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##article.viewOnOriginalSite##About the authors
Artem Petrovich Bakushev
Novokuznetsk State Institute of Postgraduate Medicine
Author for correspondence.
Email: bakushev.artem@mail.ru
graduate student of maxillo-facial surgery and general dentist of Novokuznetsk State Institute of Postgraduate Medicine
Stroitelej St., 5, 654005 Novokuznetsk, Russian FederationK. A Sivolapov
Novokuznetsk State Institute of Postgraduate Medicine
Email: info@eco-vector.com
Stroitelej St., 5, 654005 Novokuznetsk, Russian Federation
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