Your browser doesn't support javascript.
loading
Use of Triamcinolone Acetonide to Treat Lower Eyelid Malposition after the Subciliary Approach
Article de En | WPRIM | ID: wpr-163195
Bibliothèque responsable: WPRO
ABSTRACT
BACKGROUND: The subciliary approach is commonly used for reconstruction of orbital wall or zygomaticomaxillary fractures. However, this approach is associated with postoperative complications, especially lower eyelid malposition. We report the experience of managing postoperative lower eyelid malposition with triamcinolone acetonide. METHODS: A retrospective review was performed for all traumatic facial fractures requiring surgery via the subciliary approach at Chosun University Hospital in 2014. For each patient meeting inclusion criteria, the medical chart was reviewed for demographic information and postoperative course, including the presence of postoperative eyelid malposition or scleral show. RESULTS: The review identified 189 cases in which the subciliary approach was used, and postoperative lower eyelid malposition was found in 7 cases (3.7%). For these 7 patients, the mean therapeutic period (interval to correction of the malposition) was 10.5 weeks (range, 8 to 14 weeks). On average, patients received 3 injections of triamcinolone. In all cases, degrees of the malposition were improved, and none of the patients required an operative intervention to correct the malposition. CONCLUSION: Triamcinolone injection is an appropriate treatment modality for lower eyelid malposition after subciliary approach. Treatment duration is relatively short, requiring fewer than 4 outpatient clinic visits, with relatively earlier recovery compared to conservative "wait-and-see" management.
Sujet(s)
Mots clés
Texte intégral: 1 Indice: WPRIM Sujet Principal: Orbite / Complications postopératoires / Triamcinolone / Triamcinolone acétonide / Études rétrospectives / Ectropion / Paupières / Établissements de soins ambulatoires Type d'étude: Observational_studies / Prognostic_studies Limites du sujet: Humans langue: En Texte intégral: Archives of Craniofacial Surgery Année: 2016 Type: Article
Texte intégral: 1 Indice: WPRIM Sujet Principal: Orbite / Complications postopératoires / Triamcinolone / Triamcinolone acétonide / Études rétrospectives / Ectropion / Paupières / Établissements de soins ambulatoires Type d'étude: Observational_studies / Prognostic_studies Limites du sujet: Humans langue: En Texte intégral: Archives of Craniofacial Surgery Année: 2016 Type: Article