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A prospective study of resolution of post-traumatic orbital complications using PRECLUDE® MVP: A randomized controlled trial.
De-Moraes, Sylvio Luiz Costa; Pereira, Rodrigo Dos Santos; Afonso, Alexandre Maurity de Paula; Mattos, Ricardo Pereira; Ribeiro da Silva, Jonathan; Santos, Roberto Gomes; Calasans-Maia, Monica Diuana.
Afiliação
  • De-Moraes SLC; Clinic for Cranio-Maxillofacial & Reconstructive Surgery, Hospital São Francisco, Rio de Janeiro, Brazil.
  • Pereira RDS; Oral & Maxillofacial Surgery, UNIFESO, Rio de Janeiro, Brazil.
  • Afonso AMP; Clinic for Cranio-Maxillofacial & Reconstructive Surgery, Hospital São Francisco, Rio de Janeiro, Brazil.
  • Mattos RP; Clinic for Cranio-Maxillofacial & Reconstructive Surgery, Hospital São Francisco, Rio de Janeiro, Brazil.
  • Ribeiro da Silva J; Oral & Maxillofacial Surgery, UNIFESO, Rio de Janeiro, Brazil.
  • Santos RG; Clinic for Cranio-Maxillofacial & Reconstructive Surgery, Hospital São Francisco, Rio de Janeiro, Brazil.
  • Calasans-Maia MD; Oral & Maxillofacial Surgery, Federal Fluminense University, Rio de Janeiro, Brazil.
Ann Med Surg (Lond) ; 61: 139-144, 2021 Jan.
Article em En | MEDLINE | ID: mdl-33456773
Orbital fractures alone represent 10% up to 25% of all facial fractures, but when they are associated with other fractures of the middle-third of the face, their incidence can increase up to 55%. This study aimed to identify whether the size of the orbital defect based on the classification by Jaquiéry et al. influenced the resolution of post-traumatic complications after orbital wall reconstruction using PRECLUDE®MVP alone or in combination with a titanium mesh or autogenous bone graft. Thirty-five orbits were categorized into four groups on the basis of the size of the defect and the operative techniques: group 1 contained 16 Jaquiéry class I orbits treated only with PRECLUDE®MVP; group 2 included eight class II orbits treated with PRECLUDE®MVP along with autogenous bone graft harvested from the calvaria or a titanium mesh; group 3 included five class III orbits and group 4 included six class IV orbits that were treated the same way as those in group 2. Spearman correlation showed that the use PRECLUDE®MVP didn't improve the post traumatic complications for big orbital defects due to the three-dimensional anatomical changes that occurred by neurologic lesions and lipolysis of the orbital contents.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Observational_studies / Risk_factors_studies Idioma: En Revista: Ann Med Surg (Lond) Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Clinical_trials / Observational_studies / Risk_factors_studies Idioma: En Revista: Ann Med Surg (Lond) Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido