Hertel curve: orbital volume increment and proptosis in a cadaver model.

Abstract:

PURPOSE:This study examined the relation between effective orbital volume increment and proptosis induced by an inflatable orbital implant in a human cadaver orbit. METHODS:A 25-ml inflatable latex balloon was inserted between the periorbita and orbital floor in 15 human cadavers. Hertel measurements were taken for each milliliter over a total 7-ml volume increment. Five trials per orbit for 15 cadavers resulted in 525 data points. RESULTS:Average exophthalmos per milliliter of volume increment was plotted over 7 ml, using 1-ml volume increments. The resultant curve, which was termed a Hertel curve, was linear over 7 ml (R > 99%) and had a slope of 0.62 mm per milliliter of volume increment. CONCLUSIONS:An inflatable orbital implant is an effective tool for introducing a specified amount of volume in the cadaver orbit. The predictable relation between proptosis and volume increment (Hertel curve) may be a useful tool for surgeons in planning the size of an implant required to surgically correct enophthalmos.

authors

Neuschwander TB,Chang EL,Sadun AA

doi

10.1097/01.iop.0000180751.06033.9f

subject

Has Abstract

pub_date

2005-11-01 00:00:00

pages

431-4

issue

6

eissn

0740-9303

issn

1537-2677

pii

00002341-200511000-00007

journal_volume

21

pub_type

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