Surgical Treatment and Visual Outcomes of Adult Orbital Roof Fractures.


BACKGROUND:Fractures of the orbital roof require high-energy trauma and have been linked to high rates of neurologic and ocular complications. However, there is a paucity of literature exploring the association between injury, management, and visual prognosis. METHODS:The authors performed a 3-year retrospective review of orbital roof fracture admissions to a Level I trauma center. Fracture displacement, comminution, and frontobasal type were ascertained from computed tomographic images. Pretreatment characteristics of operative orbital roof fractures were compared to those of nonoperative fractures. Risk factors for ophthalmologic complications were assessed using univariable/multivariable regression analyses. RESULTS:In total, 225 patients fulfilled the inclusion criteria. Fractures were most commonly nondisplaced [n = 118 (52.4 percent)] and/or of type II frontobasal pattern (linear vault involving) [n = 100 (48.5 percent)]. Eight patients underwent open reduction and internal fixation of their orbital roof fractures (14.0 percent of displaced fractures). All repairs took place within 10 days from injury. Traumatic optic neuropathy [n = 19 (12.3 percent)] and retrobulbar hematoma [n = 11 (7.1 percent)] were the most common ophthalmologic complications, and led to long-term visual impairment in 51.6 percent of cases. CONCLUSIONS:Most orbital roof fractures can be managed conservatively, with no patients in this cohort incurring long-term fracture-related complications or returning for secondary treatment. Early fracture treatment is safe and may be beneficial in patients with vertical dysmotility, globe malposition, and/or a defect surface area larger than 4 cm2. Ophthalmologic prognosis is generally favorable; however, traumatic optic neuropathy is major cause of worse visual outcome in this population. CLINICAL QUESTION/LEVEL OF EVIDENCE:Risk, III.


Plast Reconstr Surg


Gebran SG,Lopez J,Wasicek PJ,Elegbede A,Rasko YM,Liang F,Nam AJ,Manson PN,Grant MP




Has Abstract


2021-01-01 00:00:00














  • Three- and four-dimensional arterial and venous anatomies of the thoracodorsal artery perforator flap.

    abstract:BACKGROUND:The vascular anatomy of the thoracodorsal artery perforator flap, which has not previously been elucidated, was examined using three- and four-dimensional computed tomographic angiography and venography. METHODS:Twenty-five thoracodorsal artery perforator flaps were harvested from fresh cadavers from the We...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Schaverien M,Saint-Cyr M,Arbique G,Brown SA,Rohrich RJ

    更新日期:2008-05-01 00:00:00

  • Vascular anatomy of the upper extremity muscles.

    abstract::This study delineates the vascular anatomy of the upper extremity with particular attention toward the size, location, and number of vascular pedicles supplying each muscle. Ten cadaver upper extremities were dissected. A total of 440 muscles and 2209 pedicles were identified. The major "named" arterial source, number...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Parry SW,Ward JW,Mathes SJ

    更新日期:1988-03-01 00:00:00

  • Computed tomographic angiography in planning abdomen-based microsurgical breast reconstruction: a comparison with color duplex ultrasound.

    abstract:BACKGROUND:To plan abdominal perforator-based microsurgical breast reconstruction, duplex ultrasound is often employed to preoperatively identify the location of abdominal wall perforating vessels. Recently, several groups have published the use of computed tomography angiography for preoperative planning in perforator...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章


    authors: Scott JR,Liu D,Said H,Neligan PC,Mathes DW

    更新日期:2010-02-01 00:00:00

  • A rationale for modifying the site of insertion of the orticochea pharyngoplasty.

    abstract::A modification of the insertion level of Orticochea flaps is proposed. The purpose of the modification is to place the pharyngoplasty at a higher site, in the area of attempted velopharyngeal contact. The site of velopharyngeal contact can be identified using lateral radiographic techniques. A success rate of 93 perce...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Riski JE,Serafin D,Riefkohl R,Georgiade GS,Georgiade NG

    更新日期:1984-06-01 00:00:00

  • In vivo electrical conductivity across critical nerve gaps using poly(3,4-ethylenedioxythiophene)-coated neural interfaces.

    abstract:BACKGROUND:Bionic limbs require sensitive, durable, and physiologically relevant bidirectional control interfaces. Modern central nervous system interfacing is high risk, low fidelity, and failure prone. Peripheral nervous system interfaces will mitigate this risk and increase fidelity by greatly simplifying signal int...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Egeland BM,Urbanchek MG,Peramo A,Richardson-Burns SM,Martin DC,Kipke DR,Kuzon WM Jr,Cederna PS

    更新日期:2010-12-01 00:00:00

  • Liposuction Aspirate Fluid Adipose-Derived Stem Cell Injection and Secondary Healing in Fingertip Injury: A Pilot Study.

    abstract:BACKGROUND:Although fingertip injuries account for a high proportion of trauma patients, the correct surgical approach is still debated. The authors compared the traditional conservative approach and a new treatment based on the injection of liposuction aspirate fluid. METHODS:Forty consecutive patients with a fingert...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章


    authors: Tarallo M,Fino P,Ribuffo D,Casella D,Toscani M,Spalvieri C,Lattanzi W,Di Taranto G

    更新日期:2018-07-01 00:00:00

  • Free autogenous transplants in preformed pseudosheath silicone rubber pockets.

    abstract::This investigation suggests that free autogenous grafts, when placed in preformed silicone rubber pseudosheath pockets, will survive as well, if not better, than in delayed or immediate surgical pockets. This supports the clinical assumption that silicone rubber implants can be used and exchanged periodically for larg...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Thomson HG,Vanderby MB

    更新日期:1976-12-01 00:00:00

  • The use of eccentric circummeatal-based flap with combined limited urethral mobilization technique for distal hypospadias repair.

    abstract::We report a suitable approach to the correction of subcoronal meatus for any variants and report our experience with this method. An eccentric circummeatal-based flap was used to treat 42 patients with hypospadias during a 4-year period. The position of the meatus was coronal in 18 patients (43 percent) and subcoronal...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Türken A,Senocak ME,Büyükpamukçu N,Hiçsönmez A

    更新日期:1999-02-01 00:00:00

  • Endoscopic forehead lift: an operative technique.

    abstract::On the basis of over 100 endoscopic forehead lifts, we present an in-depth view of the current operative technique. The critical components are the following: (1) a subgaleal resection of muscle insertions rather than a subperiosteal approach to muscle origins, (2) a complete periosteal release along the lateral orbit...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Daniel RK,Tirkanits B

    更新日期:1996-12-01 00:00:00

  • Subperiosteal rejuvenation of the midface and periorbital area: a simplified approach.

    abstract::A simplified approach to subperiosteal midface rejuvenation is presented. The technique was developed through experience with 60 subperiosteal face lifts over an 8-year period. Because it does not involve a lower eyelid incision, there is no risk of ectropion, yet the midfacial structures and orbicularis oculi muscle ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hobar PC,Flood J

    更新日期:1999-09-01 00:00:00

  • Upper and lower eyelid reconstruction.

    abstract::Reconstruction of the eyelids can range from simple repair to the integration of multiple complex procedures. Knowledge of eyelid anatomy, adequate preoperative planning, and meticulous surgical technique will optimize the anatomical and functional result. The purpose of this article is to review the relevant anatomy ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Codner MA,McCord CD,Mejia JD,Lalonde D

    更新日期:2010-11-01 00:00:00

  • Surgical correction of the inverted nipple with a tendon graft: hammock procedure.

    abstract::Our procedure, in which the inverted nipple was suspended using autogenous tendon grafts, was easy to perform, and it was not necessary to cut the lactiferous ducts. There was no deformity of the nipple or areola after this procedure, and the surgical scars were inconspicuous. Three patients who were followed up for o...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kurihara K,Maezawa N,Yanagawa H,Imai T

    更新日期:1990-11-01 00:00:00

  • Facial Danger Zones: Techniques to Maximize Safety during Soft-Tissue Filler Injections.

    abstract::Given the short recovery and immediate results, facial fillers have become a popular alternative to surgical rejuvenation of the face. Reported complications arising from facial filler injections include erythema, tissue loss, blindness, stroke, and even death. In this article, the authors describe their anatomically ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Scheuer JF 3rd,Sieber DA,Pezeshk RA,Gassman AA,Campbell CF,Rohrich RJ

    更新日期:2017-05-01 00:00:00

  • Textured surface, nonsilicone gel breast implants: four years' clinical outcome.

    abstract::Since the development of smooth silicone breast implants in 1962, more than 1 million women throughout the world have opted for breast augmentation surgery. Although initially successful, smooth implants are prone to develop surrounding scar capsules that may harden and contract, resulting in discomfort, weakening of ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Ersek RA,Salisbury AV

    更新日期:1997-12-01 00:00:00

  • S-shaped repair of the unilateral cleft lip.

    abstract::A modification of Tennison's operation for closure of a cleft lip is presented. The modification entails the use of X-shaped incision lines and a piece of lead rather than a wire. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Stenström SJ

    更新日期:1976-12-01 00:00:00

  • Fetal fracture healing in a lamb model.

    abstract::A large animal model to assess fetal fracture repair and the ability to close excisional bony defects is presented. Incisional and excisional ulnar fractures were made in 14 midgestation fetal lambs, harvested at serial time points, and subjected to high-resolution low-kilovolt magnification radiographs, magnetic reso...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Longaker MT,Moelleken BR,Cheng JC,Jennings RW,Adzick NS,Mintorovich J,Levinsohn DG,Gordon L,Harrison MR,Simmons DJ

    更新日期:1992-08-01 00:00:00

  • Analysis of the long-term outcomes of nonsyndromic bicoronal synostosis.

    abstract:BACKGROUND:Isolated nonsyndromic bicoronal synostosis is a relatively rare entity that produces a characteristic turribrachycephalic skull shape. The purpose of this study was to evaluate the long-term outcomes of the isolated nonsyndromic bicoronal synostosis patients treated at the authors' institution. METHODS:A re...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Bastidas N,Mackay DDJ,Taylor JA,Bartlett SP

    更新日期:2012-10-01 00:00:00

  • Accelerated porcine wound healing after treatment with α-gal nanoparticles.

    abstract:BACKGROUND:The α-gal epitope is a carbohydrate antigen that interacts specifically with the natural anti-Gal antibody--the most abundant antibody in humans. Anti-Gal/α-gal epitope interaction activates complement to generate chemotactic factors that induce rapid recruitment of macrophages. The authors hypothesized that...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hurwitz ZM,Ignotz R,Lalikos JF,Galili U

    更新日期:2012-02-01 00:00:00

  • Management of cutaneous melanomas of the female breast.

    abstract::Primary melanomas of the skin of the breast are uncommon lesions. Fifty-four patients were surgically treated for this lesion during a 13-year period, accounting for 3.8 percent of a total of 1431 patients with cutaneous melanoma. Nineteen patients were female and 35 were male. Most recently, in patients with high-ris...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Greenberg BM,Hamilton R,Rothkopf DM,Balk M,Clark WH Jr,LaRossa D

    更新日期:1987-09-01 00:00:00

  • Aesthetic outcome of different techniques of reconstruction following nipple-areola-preserving envelope mastectomy with immediate reconstruction.

    abstract:BACKGROUND:Nipple-preserving mastectomy and immediate reconstruction has further improved the aesthetic outcome of skin-sparing mastectomy. To investigate the effect of the type of reconstruction technique on aesthetic outcome, three different methods of reconstruction were compared using four evaluation modalities. M...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Mosahebi A,Ramakrishnan V,Gittos M,Collier J

    更新日期:2007-03-01 00:00:00

  • On the origins of components separation.

    abstract:SUMMARY:The method of abdominal hernia repair known as components separation, described by Ramirez et al. in 1990, has enjoyed widespread popularity because of the sound anatomical principles it uses and most importantly the clinical success of the procedure. Although the authors who described this technique made no pr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 传,历史文章,杂志文章


    authors: Halvorson EG

    更新日期:2009-11-01 00:00:00

  • Microsurgical replantation of the lip: a multi-institutional experience.

    abstract::Traumatic amputation of the lip is a rare yet devastating event affecting both form and function. Considering the available methods for reconstruction, replantation may offer a reasonable solution. We sought to characterize the variables associated with lip replantation and to assess the outcome in a retrospective rev...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Walton RL,Beahm EK,Brown RE,Upton J,Reinke K,Fudem G,Banis J,Davidson J,Dabb R,Kalimuthu R,Kitzmiller WJ,Gottlieb LJ,Buncke HJ

    更新日期:1998-08-01 00:00:00

  • Modified technique for nipple-areolar reconstruction: a case series.

    abstract:SUMMARY:Thousands of women undergo postmastectomy breast reconstruction each year. Part of the reconstruction of an aesthetically pleasing breast is a high-quality nipple-areolar reconstruction. The goals for this reconstruction include appropriate nipple projection, areolar color, and areolar texture. Presented in thi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Bogue DP,Mungara AK,Thompson M,Cederna PS

    更新日期:2003-10-01 00:00:00

  • Use of Diced Conchal Cartilage with Perichondrial Attachment in Rhinoplasty.

    abstract:BACKGROUND:The conchal cartilage is favored in nasal tip surgery, but is limited in dorsal augmentation. The authors evaluated diced conchal cartilage with perichondrial attachment in augmentation of the nasal dorsum, radix, and/or tip. METHODS:The medical records of 37 patients who underwent rhinoplasty using diced c...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kim JH,Jang YJ

    更新日期:2015-06-01 00:00:00

  • Systems-based practice: education in plastic surgery.

    abstract::The current Accreditation Council for Graduate Medical Education guidelines separate residents' education into six core competencies or subjects. The authors address the least intuitive of these, systems-based practice. In systems-based practice, educators and residents must demonstrate an awareness of and responsiven...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Davison SP,Cadavid JD,Spear SL

    更新日期:2007-01-01 00:00:00

  • Results of surgical lengthening of the short nose in the bilateral cleft lip patient.

    abstract::Some children with bilateral cleft lips do not grow a long enough nose and require surgical lengthening of the nose. We review our 12-year experience with a one-stage slide operation to achieve this. Seven males and 5 females had this operation at ages 7 through 13 years, and we have followed them from 6 months to 12 ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Edgerton MT,Marsh JL

    更新日期:1978-02-01 00:00:00

  • Changing the convexity and concavity of nasal cartilages and cartilage grafts with horizontal mattress sutures: part II. Clinical results.

    abstract::Horizontal mattress sutures have previously been shown to remove unwanted bulbosity and convexity of nasal tip cartilages. The purpose of this study was to extend that concept by investigating the universal applicability of the horizontal mattress suture to change and control the curvature (e.g., convexity or concavit...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Gruber RP,Nahai F,Bogdan MA,Friedman GD

    更新日期:2005-02-01 00:00:00

  • Comparison of the contact neodymium:YAG and carbon dioxide lasers for skin deepithelialization.

    abstract::The application of laserbrasion by the carbon dioxide (CO2) laser for skin deepithelialization previously has been proven efficacious in numerous clinical experiences. This study in adult Sprague-Dawley rats was designed to compare those known effects of the CO2 laser with the contact neodymium:yttrium-aluminum-garnet...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hallock GG,Rice DC

    更新日期:1993-05-01 00:00:00

  • Trends and Predictors of National Institutes of Health Funding to Plastic Surgery Residency Programs.

    abstract:BACKGROUND:Recent studies have demonstrated low levels of National Institutes of Health funding for surgical research. The authors compared the funding in plastic surgery with the funding for other surgical specialties. METHODS:A query of National Institutes of Health grants awarded to departments of surgical specialt...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Silvestre J,Abbatematteo JM,Chang B,Serletti JM

    更新日期:2017-12-01 00:00:00

  • Applied anatomy of the anterolateral femoral flap.

    abstract::A study of the source of the blood supply to the anterolateral femoral flap was carried out on 42 lower limbs of adult cadavers (among them 35 cadavers with injection of red latex and 1 with india ink into the arteries and 6 vascular cast specimens), and the surface locations of the vascular pedicle were detected on 5...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Xu DC,Zhong SZ,Kong JM,Wang GY,Liu MZ,Luo LS,Gao JH

    更新日期:1988-08-01 00:00:00