An Unusual Late Complication of Orbital Floor Fracture Repair

Mauriello, Joseph A.; Flanagan, Joseph C.; Peyster, Robert G.

doi:10.1016/s0161-6420(84)34335-4

Cited by 75 publications

(44 citation statements)

References 5 publications

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“…Orbital hemorrhage is a frustrating complication after repair of a blowout fracture and the hemorrhage in relation to alloplastic implants has been mainly described as a late complication of repair [3][4][5]. The current report presented the possibility that an acute hemorrhage is also able to be induced by a silicone implant.…”

Section: Discussionmentioning

confidence: 74%

“…Orbital hemorrhage in relation to alloplastic implants after repair of a blowout fracture is an uncommon entity [1][2][3][4][5]. Although this has been mainly reported as a late complication [3,4], acute hemorrhage also occurs [1,2]; however, the relationship between hemorrhaging and alloplastic implants has not been clarified.…”

Section: Introductionmentioning

confidence: 99%

“…Although this has been mainly reported as a late complication [3,4], acute hemorrhage also occurs [1,2]; however, the relationship between hemorrhaging and alloplastic implants has not been clarified. We report repeated hemorrhage after repair of an orbital floor fracture using a silicone implant, and the hemorrhage was resolved after removal of the implant.…”

Section: Introductionmentioning

confidence: 99%

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Repeated Hemorrhage after Repair of Orbital Floor Fracture with a Silicone Implant

Kakizaki¹,

Ichinose²,

Takahashi³

et al. 2011

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A 16-year-old girl was accidentally kicked in her right eye by her cheerleading teammate in an exercise. Upward gaze ability of her right eye was severely impaired and computed tomography (CT) showed a trapdoor fracture of the right orbital floor. After surgical exploration, a silicone implant was inserted. No bleeding was confirmed at this time. The next day, CT detected a hematoma on the right orbital floor. The hematoma was drained and meticulous cautery was used to control any potential bleeding. The same silicone implant was re-inserted. Irrespective of attempts to avoid hemorrhage, this occurred twice after the respective evacuations. During a fourth operation, we removed the silicone implant simultaneously with hematoma evacuation. No hematoma has occurred since, and the patient's ocular movement has dramatically improved to a normal binocular single vision field. When repeated hemorrhages occur after an orbital floor fracture repair with insertion of a silicone implant, removal of the implant is an effective strategy to resolve the hemorrhage.

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Section: Discussionmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Repeated Hemorrhage after Repair of Orbital Floor Fracture with a Silicone Implant

Kakizaki¹,

Ichinose²,

Takahashi³

et al. 2011

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show abstract

“…3 Occasionally, fibrovascular tissue around nonintegrated implants can haemorrhage and cause acute swelling of the capsule. In such cases, patients present with pain and proptosis.…”

Section: Commentmentioning

confidence: 99%

“…Other recognized complications from alloplastic implants include extraocular muscle entrapment, 8 dacrocystitis, 3,9 presumably from local spread of infection, hyperglobus, 10 and ectropion with scleral show from excessive scarring. 10 Hyperglobus may result from implant stacking or the formation of granulation tissue around the implant.…”

Section: Commentmentioning

confidence: 99%