title: Immediate socket restoration after orbital trauma with globe loss: principles, timing, and our experience.
abstract: The literature-reported incidence of ophthalmic injuries occurring with facial fracture ranges widely from 0.8% to 30%. Ocular trauma necessitating enucleation or evisceration is less common, but it is not rare. The trauma and physical disability related to removal of the eye are extreme. Moreover, the loss of an eye causes severe changes to the anatomy and physiology of the orbit, resulting in deformities that affect the relationship between the socket and the prosthesis. Here, the authors present their own experience of 8 consecutive cases of trauma injuries with globe loss and emphasize the importance of accurate, early bone reconstruction involving evisceration and immediate socket restoration.
authors.affiliation: From the Department of Maxillofacial Surgery, University Hospital of Santa Maria della Misericordia, Udine, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Robiony
authors.forename: Massimo
authors.initials: M
authors.lastname: Sbuelz
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Della Pietra
authors.forename: Matteo
authors.initials: M
authors.lastname: Casadei
authors.forename: Massimo
authors.initials: M
authors.lastname: Politi
mesh_terms: D001672:Biocompatible Materials / Q000627:therapeutic use; D004388:Dura Mater / Q000293:injuries; D017234:Eye Evisceration / Q000379:methods; D005131:Eye Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D018460:Fractures, Comminuted / Q000601:surgery; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D021621:Imaging, Three-Dimensional / Q000379:methods; D008297:Male; D008440:Maxillary Fractures / Q000601:surgery; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D009917:Orbital Fractures / Q000601:surgery; D020273:Orbital Implants; D011095:Polyethylenes / Q000627:therapeutic use; D019919:Prosthesis Implantation; D019651:Plastic Surgery Procedures / Q000379:methods*; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed / Q000379:methods; D015051:Zygomatic Fractures / Q000601:surgery
chemical_list: D001672:Biocompatible Materials; C084562:Medpor; D011095:Polyethylenes