2014, № 12 (173)

Tsurova L.M., Milyudin E.S. COMPARATIVE ANALYSIS OF USING DIFFERENT ORBITAL IMPLANTS TO FORM POSTENUCLEATIONAL LOCOMOTOR STUMPOperation of removing of the eye without the formation of locomotor stump can lead to anoftalmic syndrome. There are many types of different orbital implants (synthetic and allogeneic). The aim of this study is to analyze the results of implantation and features of early and late postoperative period after using different types of orbital inserts. 60 patients were operated and divided into three groups depending on the type of orbital implant. The first group included 30 patients who were implanted the bone liner "Lioplast" without changing the shape and size. The second group included 22 patients who were implanted the bone insert "Lioplast" with shape and size modeled intraoperative, depending on the length of the anteroposterior axis of the fellow eye and anatomical parameters of the orbit. The third group — 8 people implanted with the orbital insert "Bionic" in the orbital cavity, the amount of which depended on the length of the anteroposterior axis of the fellow eye. In the early postoperative period clinical manifestations, the presence of pain syndrome, closure of the eyelids, the position of the prosthesis, the mobility of postenucleation stump, the presence of complications were evaluated. In the late postoperative period condition of postenucleation stump, the position of the prosthesis and the position of eyelids, the mobility of postenucleation stump and prosthesis, the presence of complications were assessed. Analysis of the results of using different orbital implants showed that implantation of bone orbital (interoperational maded) liner reduces the likelihood of severe inflammatory reaction and reduces the risk of postoperative complications. One of the most important properties of the bone implant, in contrast to the polymer, is the ability of its structure to be modeled intraoperatively, which makes the orbital bone liner "Lioplast" an implant of choice and provides further qualitative of prosthesing for patients with anophthalmia.Key words: bone implant, orbital liner, enucleation, musculoskeletal postenucleational stump.

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Year: 2014

Editor-in-chief

Sergey Aleksandrovich
MIROSHNIKOV

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