Secondary correction of traumatogenic enophthalmos with auto- and alloplastic implants.
In 23 patients with traumatogenic enophthalmos and diplopia autologous (rib cartilage, iliac crest bone), heterologous (lyophilized dura), and alloplastic (Silastic, P.D.S., HA-blocks) material was implanted into the orbit in a late secondary intervention. The results were encouraging as for the improvement of the diplopia as well as the enophthalmos. If rib cartilage should not or cannot be used a hydroxyapatite ceramic block is the best alloplastic implant material due to its stability, inertia, and availability.
Clinic and Policlinic for Maxillofacial Surgery, University Hospital, Münster, Germany.
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Hemprich
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Breier
D000328:Adult; D000368:Aged; D016025:Bone Transplantation; D002356:Cartilage / Q000637:transplantation; D004172:Diplopia / Q000209:etiology / Q000601:surgery*; D004388:Dura Mater / Q000637:transplantation; D017886:Durapatite; D015841:Enophthalmos / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006882:Hydroxyapatites; D004204:Joint Dislocations / Q000150:complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D009917:Orbital Fractures / Q000150:complications / Q000601:surgery; D019736:Prostheses and Implants; D012826:Silicone Elastomers; D015051:Zygomatic Fractures / Q000150:complications / Q000601:surgery
D006882:Hydroxyapatites; D012826:Silicone Elastomers; D017886:Durapatite