Efficacy of application of a patient-specific implants in treatment of the orbit walls defects, combined with a cheekbone complex fractures
Objective. To study a clinical efficacy of application of a patient-specific implants for elimination of posttraumatic orbital defects, combined with a cheekbone complex fractures, comparing with standard methods of reconstruction. Materials and metods. Retrospective analysis of the treatment res...
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| Format: | Article |
| Language: | English |
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Liga-Inform ltd.
2020-07-01
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| Series: | Клінічна хірургія |
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| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/830 |
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| author | Yu. V. Chepurniy A. V. Kopchak D. M. Chernogorskiy O. I. Zhukovtseva |
| author_facet | Yu. V. Chepurniy A. V. Kopchak D. M. Chernogorskiy O. I. Zhukovtseva |
| author_sort | Yu. V. Chepurniy |
| collection | DOAJ |
| description | Objective. To study a clinical efficacy of application of a patient-specific implants for elimination of posttraumatic orbital defects, combined with a cheekbone complex fractures, comparing with standard methods of reconstruction.
Materials and metods. Retrospective analysis of the treatment results was conducted in 43 patients of the main group (n = 25) and in a control one (n = 18), who suffered posttraumatic orbital defects, combined with a cheekbone complex fractures, including the rate of postoperative enophthalm, diplopia and difference of volume between reconstructed and intact orbit.
Results. Average square of the defects in the patients examined have constituted (6.3 ± 3.5) cm2. The postoperative enophthalm rate in the main group have constituted 18%, in a control one - 44.4%, diplopia rate - accordingly, 16 and 44.4%. Average difference between volume of the intact and traumatized orbit in the main group have constituted (0.94 ± 0.65) cm3 and in a control one - (2.4 ± 2.3) cm3.
Conclusion. Significant square of the orbit walls damage with extension towards apical parts is characteristic for posttraumatic orbital defects, combined with a cheekbone complex fractures. Reconstruction of orbit and a cheekbone complex, using a patient-specific implants, permits to guarantee an effective rehabilitation of the patients concerning elimination of posttraumatic enophthalm with low risk for the vision acuteness lowering. |
| format | Article |
| id | doaj-art-c79d549013e2418ea103684e4e16df58 |
| institution | Matheson Library |
| issn | 0023-2130 2522-1396 |
| language | English |
| publishDate | 2020-07-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj-art-c79d549013e2418ea103684e4e16df582025-08-02T19:08:58ZengLiga-Inform ltd.Клінічна хірургія0023-21302522-13962020-07-01875-6657010.26779/2522-1396.2020.5-6.65830Efficacy of application of a patient-specific implants in treatment of the orbit walls defects, combined with a cheekbone complex fracturesYu. V. Chepurniy0A. V. Kopchak1D. M. Chernogorskiy2O. I. Zhukovtseva3National Medical University Named After O. O. Bogomolets, KyivNational Medical University Named After O. O. Bogomolets, KyivNational Medical University Named After O. O. Bogomolets, KyivNational Medical University Named After O. O. Bogomolets, KyivObjective. To study a clinical efficacy of application of a patient-specific implants for elimination of posttraumatic orbital defects, combined with a cheekbone complex fractures, comparing with standard methods of reconstruction. Materials and metods. Retrospective analysis of the treatment results was conducted in 43 patients of the main group (n = 25) and in a control one (n = 18), who suffered posttraumatic orbital defects, combined with a cheekbone complex fractures, including the rate of postoperative enophthalm, diplopia and difference of volume between reconstructed and intact orbit. Results. Average square of the defects in the patients examined have constituted (6.3 ± 3.5) cm2. The postoperative enophthalm rate in the main group have constituted 18%, in a control one - 44.4%, diplopia rate - accordingly, 16 and 44.4%. Average difference between volume of the intact and traumatized orbit in the main group have constituted (0.94 ± 0.65) cm3 and in a control one - (2.4 ± 2.3) cm3. Conclusion. Significant square of the orbit walls damage with extension towards apical parts is characteristic for posttraumatic orbital defects, combined with a cheekbone complex fractures. Reconstruction of orbit and a cheekbone complex, using a patient-specific implants, permits to guarantee an effective rehabilitation of the patients concerning elimination of posttraumatic enophthalm with low risk for the vision acuteness lowering.https://hirurgiya.com.ua/index.php/journal/article/view/830patient-specific implants; reconstruction of orbit; fractures of a cheekbone complex; enophthalm; diplopia. |
| spellingShingle | Yu. V. Chepurniy A. V. Kopchak D. M. Chernogorskiy O. I. Zhukovtseva Efficacy of application of a patient-specific implants in treatment of the orbit walls defects, combined with a cheekbone complex fractures Клінічна хірургія patient-specific implants; reconstruction of orbit; fractures of a cheekbone complex; enophthalm; diplopia. |
| title | Efficacy of application of a patient-specific implants in treatment of the orbit walls defects, combined with a cheekbone complex fractures |
| title_full | Efficacy of application of a patient-specific implants in treatment of the orbit walls defects, combined with a cheekbone complex fractures |
| title_fullStr | Efficacy of application of a patient-specific implants in treatment of the orbit walls defects, combined with a cheekbone complex fractures |
| title_full_unstemmed | Efficacy of application of a patient-specific implants in treatment of the orbit walls defects, combined with a cheekbone complex fractures |
| title_short | Efficacy of application of a patient-specific implants in treatment of the orbit walls defects, combined with a cheekbone complex fractures |
| title_sort | efficacy of application of a patient specific implants in treatment of the orbit walls defects combined with a cheekbone complex fractures |
| topic | patient-specific implants; reconstruction of orbit; fractures of a cheekbone complex; enophthalm; diplopia. |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/830 |
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