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Otolaryngology, ENT & Sinus News Provided by Dallas ENTUpdate on orbital reconstructionAugust 1, 2010, 12:00 pm by Current Opinion in Otolaryngology & Head and Neck SurgeryPurpose of review: Orbital trauma is common and frequently complicated by ocular injuries. The recent literature on orbital fracture is analyzed with emphasis on epidemiological data assessment, surgical timing, method of approach and reconstruction materials. Recent findings: Computed tomographic (CT) scan has become a routine evaluation tool for orbital trauma, and mobile CT can be applied intraoperatively if necessary. Concomitant serious ocular injury should be carefully evaluated preoperatively. Patients presenting with nonresolving oculocardiac reflex, 'white-eyed' blowout fracture, or diplopia with a positive forced duction test and CT evidence of orbital tissue entrapment require early surgical repair. Otherwise, enophthalmos can be corrected by late surgery with a similar outcome to early surgery. The use of an endoscope-assisted approach for orbital reconstruction continues to grow, offering an alternative method. Advances in alloplastic materials have improved surgical outcome and shortened operating time. Summary: In this review of modern orbital reconstruction, several controversial issues such as surgical indication, surgical timing, method of approach and choice of reconstruction material are discussed. Preoperative fine-cut CT image and thorough ophthalmologic examination are key elements to determine surgical indications. The choice of surgical approach and reconstruction materials much depends on the surgeon's experience and the reconstruction area. Prefabricated alloplastic implants together with image software and stereolithographic models are significant advances that help to more accurately reconstruct the traumatized orbit. The recent evolution of orbit reconstruction improves functional and aesthetic results and minimizes surgical complications. (C) 2010 Lippincott Williams & Wilkins, Inc.
More from Current Opinion in Otolaryngology & Head and Neck Surgery Editorial introductions Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am No abstract available Airway assessment by four-phase rhinomanometry in septal surgery Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: This article updates the state of the art in functional ventilation tests of the nasal airway. Multidisciplinary international cooperation has led within the last years to the development of Odontogenic sinusitis: an ancient but under-appreciated cause of maxillary sinusitis Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: For well over 100 years, it has been appreciated that maxillary dental infections can cause sinusitis. This insight has been largely overlooked with the advent of functional endoscopic sinus Olfactory improvement after endoscopic sinus surgery Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: Olfactory dysfunction is a common complaint in patients with chronic rhinosinusitis (CRS). The purpose of this article is to review the current evidence on the impact of endoscopic sinus Role of fungi in pathogenesis of chronic rhinosinusitis: the hypothesis rejected Current Opinion in Otolaryngology & Head and Neck Surgery: January 31, 2012, 5:00 am Purpose of review: Fungi have been suggested to play an important role in the pathogenesis of chronic rhinosinusitis (CRS). This review describes the recent knowledge concerning the role of fungi in the
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