The importance of reestablishing orbitary architecture for rehabilitation with an ocular prosthesis: a case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i1.11522

Keywords:

Anophtalmos; Eye, Artificial; Polymethyl methacrylate.

Abstract

Anophthalmia is mainly caused by two etiological groups, trauma and medical conditions. In addition, anophthalmia creates difficulties in social, professional, and family adaptation due to psychological, and functional disorders related to eye loss. Studies show a positive influence on the personal relationship of patients with anophthalmia after being rehabilitated with ocular prostheses. However, in order to achieve a good aesthetic result in prosthetic eye rehabilitation, it is essential that the size and positioning of the orbital skeleton are adequate. Facial trauma can also cause defects associated with bone loss, and in these cases, reconstructive techniques aim to restore the appropriate bone contour. The aim of this work is to report a case where reconstructive treatment was performed on a patient victim of a long-term traffic accident sequel, using an alloplastic implant in polymethylmethacrylate (PMMA) and bone repositioning, so that an ocular prosthesis could be made. At the end of the treatment, after reconstruction of the frontal-nasal region in PMMA and repositioning of the left zygoma, the aesthetic objectives were achieved and the patient improved his self-esteem and social life.

References

Ali, U., Karim, K. J. B. A., Buang, N. A. (2015). A Review of the Properties and Applications of Poly (Methyl Methacrylate) (PMMA). Polymer Reviews, 55(4), 678–705. https://doi.org/10.1080/15583724.2015.1031377

Batista, T. R. M., Frazão, K. L. R., De Araújo, M. C.,De Santana Filho, E. B., Melo, A. K. V., Neves, L. E. M. (2020). Avaliação das repercussões clínicas após alterações no volume orbitário pós trauma: uma revisão sistematizada. Research, Society and Development, 9(9), 1-12. 10.33448/rsd-v9i9.7002

Cabral, L. G. M., Martelli Júnior, H., Leite, D. M., Sabatini Júnior, D., Freitas, A. B. D. A., Miranda, R. T., Swerts, M. S. O., Barros, L. M. (2008). Perfil biopsicossocial de portadores de anoftalmia no sul de Minas Gerais - Brasil. Arq Bras Oftalmol, 71(6), 855–859.

Colombo, L. R. C., Calderoni, D. R., Rosim, E. T., Passeri, L. A. (2011). Biomateriais para reconstrução da órbita: revisão da literatura. Revista Brasileira de Cirurgia Plástica, 26(2), 337–344. https://doi.org/10.1590/s1983-51752011000200025

Da Silva, R. D. P., Raposo-Amaral, C. A., Guidi, M. C., Raposo-Amaral, C. E., Buzzo, C. L. (2017). Customized acrylic implants for reconstruction of extensive skull defects: na exception approach for selected patients. Revista Do Colegio Brasileiro de Cirurgioes, 44(2), 154–162. https://doi.org/10.1590/0100-69912017002008

Đurić, K. S., Barić, H., Domazet, I., Barl, P., Njirić, N., Mrak, G. (2019). Polymethylmethacrylate cranioplasty using low-cost customised 3D printed moulds for cranial defects–a single Centre experience: technical note. British Journal of Neurosurgery, 33(4), 376–378. https://doi.org/10.1080/02688697.2019.1566514

Gasparini, G., Saponaro, G., Moro, A., Boniello, R., Cervelli, D., Pelo, S. (2010). Zygomatic sagittal split osteotomy: A novel and simple surgical technique for use in midface corrections. The Journal of Craniofacial Surgery, 21(6), 1872–1875. https://doi.org/10.1097/SCS.0b013e3181f4ab9f

Ghosh, S., Pramanick, D., Ray, A., Burman, R., Saha, A. (2017). Fronto-orbital reconstruction using polymethyl methacrylate implant. National Journal of Maxillofacial Surgery, 8, 153-156. 10.4103/njms.NJMS_10_17

Goiato, M. C., Dos Santos, D. M., Bannwart, L. C., Moreno, A., Pesqueira, A. A., Haddad, M. F., Dos Santos, E. G. (2013). Psychosocial impact on anophthalmic patients wearing ocular prosthesis. International Journal of Oral and Maxillofacial Surgery, 42, 113–119. https://doi.org/10.1016/j .ijom.2012.05.028

Gomes-Ferreira, P. H. S., Okamoto, R., De Oliveira, D., Reis, E. N. R. C., Toledo, G. L., Faverani, L. P. (2015). Tratamento cirúrgico de sequela de fratura zigomática associada à fratura maxilar complexa. Archives of Health Investigation, 4(2), 59–65.

Oliver, J. D., Banuelos, J., Abu-Ghname, A., Vyas, K. S., Sharaf, B. (2019). Alloplastic Cranioplasty Reconstruction: A Systematic Review Comparing Outcomes With Titanium Mesh, Polymethyl Methacrylate, Polyether Ether Ketone, and Norian Implants in 3591 Adult Patients. Annals of Plastic Surgery, 82( Suppl 4), S289–S294. doi: 10.1097/SAP.0000000000001801

Pine, K. R., Sloan, B. H., Jacobs, R. J. (2015). Clinical ocular prosthetics. Belim: Springer International Publishing. https://doi.org/10.1007/978-3-319-19057-0

Rodrigues, M. F. B., Rocha, L. L. A., Souza, D. D., Acioly, R. F., Carvalho, D. C., Rocha, C. C. L. (2020). Tratamento tardio de fratura fronto-naso-órbito-etmoidal: Relato de caso. Brazilian Journal of Development, 6(7), 49924–49931. 10.34117/bjdv6n7-589

Rodríguez, I.Z., Aniceto, G. S., Moreno, J. J. M.(2007). Reconstrucción craneal con biomateriales. Revisión histórica y estado actual. Revista Espanola de Cirugia Oral y Maxilofacial, 29(2), 79–89. https://doi.org/10.4321/s1130-05582007000200001

Starch-Jensen, T., Linnebjerg, L. B., Jensen, J. D. (2018). Treatment of Zygomatic Complex Fractures with Surgical or Nonsurgical Intervention: A Retrospective Study. The Open Dentistry Journal, 12, 377–387. doi: 10.2174/1874210601812010377

Vince, G. H., Kraschl, J., Rauter, H., Stein, M., Grossauer, S., Uhl, E. (2019). Comparison between autologous bone grafts and acrylic (PMMA) implants – A retrospective analysis of 286 cranioplasty procedures. Journal of Clinical Neuroscience, 61, 205–209. https://doi.org/10.1016/j.jocn.2018.10.017

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Published

04/01/2021

How to Cite

DALLAZEN, E.; QUEIROZ, M. E. .; LLANTADA, Ângelo R.; BATTISTETTI, M. M. .; GIBIM, C. H. .; HOCHULI-VIEIRA, E. .; STABILE, G. A. V. The importance of reestablishing orbitary architecture for rehabilitation with an ocular prosthesis: a case report. Research, Society and Development, [S. l.], v. 10, n. 1, p. e10310111522, 2021. DOI: 10.33448/rsd-v10i1.11522. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/11522. Acesso em: 20 jan. 2021.

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Section

Health Sciences