Development of schematic representations for globe removal and formation of the supporting-motor stump for use in ophthalmological and radiological practice
- Authors: Davydov D.V.1, Gridasova I.S.2, Serova N.S.2, Pavlova O.Y.2, Konovalov K.A.3
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Affiliations:
- P.A. Herzen Moscow Oncology Research Institute, branch of the National Medical Research Center of Radiology
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
- 1586 Military Clinical Hospital
- Issue: Vol 16, No 4 (2023)
- Pages: 43-53
- Section: Original researches
- URL: https://journals.rcsi.science/ov/article/view/254572
- DOI: https://doi.org/10.17816/OV623658
- ID: 254572
Cite item
Abstract
BACKGROUND: Today, the issue of globe endoprosthetics is an extremely important problem due to several reasons: the presence of various methods for globe removal, the variety of implants and surgical installation techniques, non-standard cavities before prosthetics, the lack of a unified algorithm for examining the patients at the pre- and postoperative stages, as well as difficulties in the rehabilitation of patients with anophthalmos and high aesthetics requirements.
AIM: Development of schematic images of performing various surgical techniques for globe removal and forming a supporting-motor stump for a cosmetic prosthesis.
MATERIALS AND METHODS: During 2020–2023, in different institutions, 43 patients (100%) were examined for globe endoprosthetics, from 18 to 65 years old, 23 men, 20 women. The authors analyzed CT data obtained at the radiological department No. 2 of Sechenov University and at the 1586 Military Clinical Hospital of the Russian Ministry of Defense.
RESULTS: All patients (n = 43; 100%) underwent a globe removal in various modifications depending on the initial condition, in 39 cases (78%) — reconstructive surgery for the endoprosthesis installation in order to form a volumetric supporting-motor stump, and further external cosmetic prosthetics. In 10 patients (22%), the endoprosthesis was installed after enucleation of the globe, in 33 (78%) — after evisceration in various modifications.
CONCLUSIONS: This paper presents schematic images of various techniques for surgical globe removal, formation of a supporting-motor stump, types of endoprostheses, the options of external cosmetic prosthetics and the presence of complications, as well as a CT protocol for the description of obtained images.
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##article.viewOnOriginalSite##About the authors
Dmitry V. Davydov
P.A. Herzen Moscow Oncology Research Institute, branch of the National Medical Research Center of Radiology
Email: d-davydov3@yandex.ru
ORCID iD: 0000-0002-8025-4830
SPIN-code: 1368-2453
MD, Dr. Sci. (Medicine), Professor
Russian Federation, MoscowIrina S. Gridasova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: dr.gridasova_irina@mail.ru
ORCID iD: 0009-0001-4851-3054
Russian Federation, Moscow
Nataliya S. Serova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: dr.serova@yandex.ru
ORCID iD: 0000-0003-2975-4431
SPIN-code: 4632-3235
Dr. Sci. (Medicine), Professor, Corresponding Member of the Russian Academy of Sciences
Russian Federation, MoscowOlga Yu. Pavlova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: pavlova_o_yu@staff.sechenov.ru
ORCID iD: 0000-0001-8898-3125
SPIN-code: 8326-0220
MD, Cand. Sci. (Medicine)
Russian Federation, 8/2 Trubetskaya st., Voscow, 119048Konstantin A. Konovalov
1586 Military Clinical Hospital
Author for correspondence.
Email: kkonovalov82@mail.ru
ORCID iD: 0000-0002-6880-0077
SPIN-code: 3604-0676
MD, Cand. Sci. (Medicine)
Russian Federation, MoscowReferences
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