SU1468530A1 - Method of osseous plasty of eye orbit - Google Patents

Abstract

The invention relates to dentistry and ophthalmology, and relates to methods of treating patients with maxillofacial trauma and post-traumatic deformities of the orbital complex. To improve the functional and cosmetic results when replacing a defect in the orbit, a part of the body of the skull bone is used as a graft within the boundaries of the frontal and temporal processes.

Description

one

The invention relates to dentistry and ophthalmology and relates to methods of reconstructive surgery in patients with maxillofacial trauma and posttraumatic deformities of the zygomatic orbital complex.

1.1, the purpose of the invention is to improve the functional and cosmetic results.

The method is carried out as follows.

Under endotracheal anesthesia, an incision is made in the outer third of the upper edge of the eyebrow, extending over the body of the zygoma. Cut through the skin with subcutaneous fatty tissue, stupidly and sharply protrude to the upper outer edge of the orbit and the body of the zygoma. Boron and chisel take the graft from the body of the zygoma in the boundaries of the frontal and temporal processes. Then make a cut on the ciliary edge of the century. Stupidly and sharply, bypassing the circular muscle of the eye, approaches the lower edge of the orbit, where sensory platforms are created, where the graft is placed and the bones are fixed with a suture of metal wire. Wounds are sutured in layers.

Example. Patient V., 31, case history L 3399/984. He entered the clinic of surgical dentistry with complaints of deformity of the skulit orbit area in the left. History of injury. On examination, a significant asymmetry was detected due to deformation of the bones of the facial skeleton of the middle zone to the left. Skulova KOCTI is shifted down, backwards and inwards. LevyG | 1az otsuvu t. In the area of the skeleton, tofr (), 1y, oh, -o :: number, a diastasis with an oxide size of 1.5 cm is determined. In the area of the lower wall of the orbit, a defect of about cm is determined. The anterior wall of the maxillary sinus is partially absent. The diagnosis was established: an incomplete fracture of the skuloorbitalyu1CH1 complex on the left, the defect of the lower wall of the orbit. In a planned order, an operation was performed, during which the lower wall of the orbit was restored by an autotransplant from the body of the zygoma in the boundaries of the whole and the temporal process. As a result of the operation, a good cosmetic effect was obtained.

The use of the invention provides the following advantages: topograph-anato-otic integrity of the lower wall of the orbit is restored; creates a good kosme (L

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Claims (1)

tic effect (natural oval of the body) the zygomatic bone within the boundaries of the frontal and temporal bone osteoplasty of the orblta by anatomical replacement of the defect with bone autotransplantation of the orbit); is excluded by an underplant, characterized in that, for the purpose of an improvement operation on the chest or the functional and cosmetic pelvic bones x; the graft is identical to the result, as an autograft According to the structure of the bone tissue with bone tissue, a part of the body of the zygoma is used in the grabits of the forehead and temporal process.