Orbitomaxillary mass after repair of the orbital floor

Endoscopic transnasal drainage for orbital implantation cyst after orbital wall reconstruction

“…In order to excise the cyst, surgeons prefer to choose the transconjunctival or subtarsal approach just as the same approach as the previous reconstruction surgery straight-forwardly. [ 3 4 5 7 ]…”

“…One possible reason is that transnasal approach will leave the cyst open to nasal passage, which means a new implant cannot be put. In previous reports, most replaced the implant[ 3 4 ] when one just removed the implant and left it empty because of the infection. [ 7 ] The second possible reason is that the transnasal approach surgery will excise one wall of the cyst and leave one left wall alone to support the intra-orbital tissue.…”

“…Previous studies have reported different types of alloplastic material-associated cysts, and most of them emphasized the pathologic findings of the orbit cysts. [ 1 2 3 ] However, a suitable surgical approach has not been widely discussed. The direct idea is to accomplish the surgery via the same approach of previous orbital reconstruction surgery, as transconjunctival[ 4 5 ] or subtarsal approach.…”

“…The direct idea is to accomplish the surgery via the same approach of previous orbital reconstruction surgery, as transconjunctival[ 4 5 ] or subtarsal approach. [ 3 ] But those approaches, with the opportunity to bring new conjunctival epithelium into the surgical area, may leave a dead cavity with some residual cyst tissue for the recurrence of the cyst. [ 6 ] Hence, the present technical note is to show a simple endoscopic transnasal approach for the drainage of epithelial cyst, removal of the implant with minimizing the risk for recurrence.…”

Delayed Periorbital Abscess after Silicone Implant to Orbital Floor Fracture

“…The non-silicone comparative group did not include porous polyethylene and include only four cases of titanium mesh. Additionally, the mean follow-up in the study was on average of 3.5 months, which would not identify the delayed complications of silicone implants 202122232425…”