PURPOSE Seprafilm is a hybrid product of carboxymethylcellulose and sodium hyaluronate that can act as an absorbable barrier to decrease the formation and severity of postoperative adhesions in abdominal, thoracic, and pelvic surgeries. The authors report their experience with use of Seprafilm in "trap door" orbital wall fracture repair. METHODS Retrospective case series of 4 consecutive pati...

Traditional superior oblique weakening procedures may be unpredictable and lead to superior oblique underaction. The use of 240 retinal band as a spacer to lengthen the superior oblique tendon has been proposed as a more controlled approach than superior oblique tenotomy and related procedures. The use of this technique is reported in a patient with diplopia following an orbital floor blow out ...

Orbital fractures commonly occur in maxillofacial trauma causing enophthalmos and diplopia. If not properly managed the cosmetic and functional problems can virtually become untreatable. In recent years, management of these fractures has been standardized with special emphasis on methods of treatment, timing and materials used for reduction.

BACKGROUND Trapdoor-type orbital fractures usually associated with marked motility restriction are common in the pediatric age group. We reviewed the characterization and surgical outcomes of orbital blow-out fracture in children. METHOD This is a retrospective review study. From Jan. 1997 to Dec. 2006, 75 patients under 18 years of age with orbital blow-out fractures were seen in the departm...

Shintaro SUKEGAWA1), Takahiro KANNO1,2), Yuta KOYAMA3), Akane SHIBATA1), Kenichi MATSUMOTO1), Yuka SUKEGAWA-TAKAHASHI1), Kyosuke SAKAIDA1), Shigeto TANAKA3), Yoshihiko FURUKI1) 1)Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, 760-8557, Japan 2)Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, 693-8501, Japan...

BACKGROUND The purpose of this study was to evaluate morbidity, functional, and aesthetic outcomes in midface zygomatic-maxillary buttress reconstruction using the osteocutaneous radial forearm free flap (OCRFFF). METHODS A retrospective review of 24 consecutive patients that underwent midface reconstruction using the OCRFFF was performed. All patients had variable extension of maxillectomy d...

OBJECTIVES Transpositioning of the inferior alveolar nerve to prevent injury in lower jaw has been advocated for orthognathic, pre-prosthetic and for implant placement procedures. However, the concept of infra-orbital nerve repositioning in cases of mid-face fractures remains unexplored. The infraorbital nerve may be involved in trauma to the zygomatic complex which often results in sensory dis...