Modified procedure for reconstructing the inferomedial orbital wall: silicone sheet implantation without surgical removal

Background Due to the complexity of reconstructing wide inferomedial orbital wall fractures, silicone sheets are the preferred choice of reconstructive material. Nevertheless, it is crucial to remove the silicone sheet postoperatively due to the risk of delayed complications associated with its plac...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2024-01, Vol.281 (1), p.515-521
Main Authors: Takabayashi, Kosuke, Maeda, Yohei, Kataoka, Nobuya
Format: Article
Language:English
Subjects:
Head and Neck Surgery
How I do it
Humans
Medicine
Medicine & Public Health
Nasal Cavity - surgery
Neurosurgery
Orbit - surgery
Orbital Fractures - surgery
Otorhinolaryngology
Plastic Surgery Procedures
Prostheses and Implants
Silicones
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Summary:Background Due to the complexity of reconstructing wide inferomedial orbital wall fractures, silicone sheets are the preferred choice of reconstructive material. Nevertheless, it is crucial to remove the silicone sheet postoperatively due to the risk of delayed complications associated with its placement. Methods We developed a procedure in which a silicone sheet implanted in the orbit can be extracted through the nasal cavity by removing the fractured portion of the medial orbital wall. Conclusion This procedure enables the utilization of silicone sheets, which are suitable for intricate orbital reconstruction, without any concerns regarding delayed complications.
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-023-08257-6